Blood test, creatinine (kidney)
Facility: Childrens Hospital of Wisconsin
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $72
- Cash Discount Price: $50
- vs. Medicare Baseline: 14.06x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $5.12 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1406% of the Medicare baseline (a markup of 1306%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| My Choice Wisconsin | $5 - $6 | 98% |
| Chorus Community Health Plan | $5 | 98% |
| UnitedHealthcare | $5 - $69 | 98% |
| Managed Health Services | $6 | 117% |
| Icare | $6 | 117% |
| Blue Cross Blue Shield | $6 - $86 | 117% |
| Molina Healthcare of Wisconsin | $6 | 117% |
| Froedtert Health | $63 - $77 | 1230% |
| Medical College of Wisconsin | $63 | 1230% |
| Network Health Plan | $64 | 1250% |
| Common Ground Healthcare Cooperative | $68 - $77 | 1328% |
| Aspirus Health Plan | $68 | 1328% |
| Trilogy Health Solutions | $68 - $77 | 1328% |
| Advocate Aurora Healthcare | $69 | 1348% |
| Wps Health Plan | $69 - $81 | 1348% |
| Health Partners | $70 - $79 | 1367% |
| Centivo | $70 | 1367% |
| Employer Health Care Alliance Cooperative | $71 | 1387% |
| Oan LLC | $72 | 1406% |
| Group Health Cooperative of Eau Claire | $72 | 1406% |
| Dean Health Plan | $72 | 1406% |
| Security Health Plan | $75 | 1465% |
| Health Payment Systems | $76 | 1484% |
| Quartz Health Insurance | $77 | 1504% |
| Sheboygan Employer's Health Network | $77 | 1504% |
| Praire States | $77 | 1504% |
| Aetna | $79 - $80 | 1543% |
| Mayo Clinic Health Solutions | $79 | 1543% |
| Cigna | $81 | 1582% |
| Prevea Health Network | $81 | 1582% |
| Group Health Cooperative of South Central Wisconsin | $81 | 1582% |
| Bellin Thedacare | $81 | 1582% |
| Multiplan | $82 - $86 | 1602% |
| Coventry Health Care | $86 | 1680% |