CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical Center Enterprise

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical Center Enterprise is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$105

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: $105 (2051%)
Insurance Median: $5 (98%)
Cash: $105 (2051% 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
Medicaid / KanCare $3 - $4 59%
Bc Pml $4 78%
Node Champva $4 78%
Tricare $4 78%
Aetna $5 - $377 98%
Blue Cross Blue Shield $5 - $6 98%
Covenant Hospice $5 98%
Dayspring Hospice $5 98%
Eon Health $5 98%
Healthspring $5 98%
Humana $5 98%
Medicare (plans) $5 98%
Node Clover Mcr Adv $5 98%
Node Devoted Health Mcr Adv $5 98%
Node Hospice Non Par $5 98%
Node Va $5 98%
Node Wellcare Mcr Adv $5 98%
Occunet $5 98%
Select Health $5 98%
Southerncare Hospice $5 98%
UnitedHealthcare $5 98%
Veterans Eval Services $5 98%
Wiregrass Hospice $5 98%
Al Maternity Waiver Program $6 117%
Node Us Dept Of Labor $6 117%
Ambetter / Centene $8 156%
Cigna $9 - $47 176%
Self Pay $48 - $161 938%
American Employee Alliance $215 4199%
Alamed $323 6309%
Affordable Health $377 7363%
Health Choice $377 7363%
Novanet Ppo $377 7363%
Coventry Work Comp Al $396 7734%
Multiplan $398 - $425 7773%
Wc Dept Ind Relations $430 8398%
Corvel $457 8926%
Galaxy Health $484 9453%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals