CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Gadsden Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Gadsden Regional Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $89 (1738%)
Insurance Median: $5 (98%)
Cash: $89 (1738% of Medicare)
Ins. Median: $5 (98% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Bc Pml $4 78%
Medicaid / KanCare $4 78%
Node Champva $4 78%
Tricare $4 78%
Aetna $5 - $308 98%
Amedisys Hospice $5 98%
Blue Cross Blue Shield $5 98%
Cigna $5 - $32 98%
Gadsden Hospice $5 98%
Humana $5 98%
Medicare (plans) $5 98%
Node Clover Health Mcr Adv $5 98%
Node Devoted Health Mcr Adv $5 98%
Node Eon Mcr Adv $5 98%
Node Non Par Hospice Agree $5 98%
Node Select Health Mcr Adv $5 98%
Node Va $5 98%
Node Viva Mcr Adv $5 98%
Node Wellcare Mcr Adv $5 98%
Prime Health $5 - $429 98%
Southern Care Hospice $5 98%
UnitedHealthcare $5 98%
Veterans Eval Services $5 98%
Node Us Dept Of Labor $6 117%
Ambetter / Centene $8 156%
Self Pay $71 - $107 1387%
American Employee Alliance $238 4648%
Multiplan $333 - $374 6504%
Magellan Behavioral $356 6953%
Viva Healthcare $356 6953%
First Health $416 - $480 8125%
Beech Street $434 - $1,525 8477%
Alamed Wc $446 8711%
Focus Health $455 8887%
Coventry Work Comp Al $465 9082%
Work Comp $505 9863%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals