CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $29
Cash Discount Price: $32
vs. Medicare Baseline: 5.66x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical West, An Affiliate of UAB Health System is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.66x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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: $32 (625%)

Insurance Median: $29 (566%)

Cash: $32 (625% of Medicare)

Ins. Median: $29 (566% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 566% of the Medicare baseline (a markup of 466%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$4 - $158	78%
Aetna	$5 - $153	98%
Blue Cross Blue Shield	$5	98%
Cooper Green	$5	98%
Humana	$5 - $185	98%
Jefferson County Sheriff	$5	98%
Triwest	$5	98%
United Mine Workers	$5	98%
UnitedHealthcare	$5 - $6	98%
Viva	$6 - $109	117%
Ambetter / Centene	$7	137%
Beech Street	$10 - $153	195%
One Health Plan	$10 - $142	195%
Phcs	$10 - $153	195%
Geha	$11 - $153	215%
Healthchoice	$11 - $153	215%
Alamed	$13 - $171	254%
Construction Claims Management	$13 - $176	254%
Corvel	$13 - $196	254%
Multiplan	$13 - $179	254%
Novanet	$13 - $182	254%
Department Of Labor	$14 - $190	273%
Heritage Summit Health	$14 - $190	273%
Pnoa	$14 - $196	273%
Three Rivers	$14 - $196	273%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $32.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.