CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Flowers Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Flowers Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $31 (605%)
Insurance Median: $8 (156%)
Cash: $31 (605% of Medicare)
Ins. Median: $8 (156% 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%
Alabama Rehab $4 78%
Bc Pml $4 78%
Node Champva $4 78%
Tricare $4 78%
Aetna $5 - $101 98%
Blue Cross Blue Shield $5 - $7 98%
Care Improvement Plus $5 98%
Cigna $5 - $8 98%
Compassionate Hands $5 98%
Covenant Hospice $5 98%
Dayspring Hospice $5 98%
Eon Health Care $5 98%
Humana $5 98%
Medicare (plans) $5 98%
Node Clover Health Mcr Adv $5 98%
Node Devoted Health Mcr Adv $5 98%
Node Hospice Non Par $5 98%
Node Va $5 98%
Node Viva Mcr Adv $5 98%
Node Wellcare Mcr Adv $5 98%
Occunet $5 98%
Prime Health $5 - $97 98%
Select Health $5 98%
Southern Care Hospice $5 98%
UnitedHealthcare $5 98%
Veterans Eval Services $5 98%
Vistacare Hospice $5 98%
Wiregrass Hospice $5 98%
Node Us Dept Of Labor $6 117%
Ambetter / Centene $8 156%
Self Pay $21 - $41 410%
S & S Healthcare $34 664%
Choicecare Commercial $48 938%
American Employee Alliance $55 1074%
Coventry Healthcare $69 - $105 1348%
Viva Health $83 1621%
Multiplan $90 - $110 1758%
Alamed Wc $97 1895%
Standard Textile $97 1895%
Health Choice $101 1973%
Equian $104 - $109 2031%
Qhp $104 2031%
Novanet $110 2148%
Alabama Work Comp $115 2246%
Ccn/Mednet Ppo $117 2285%
Corvel $117 2285%
Industry Buying Group $117 2285%
Galaxy Health $124 2422%
Health Payors Org $124 2422%
National Provider Net $124 2422%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals