CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Mercy Hospital Booneville
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $30
- Cash Discount Price: $66
- vs. Medicare Baseline: 5.86x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Mercy Hospital Booneville is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.86x the Medicare baseline. Located in 880 West Main, Booneville, AR.
Cash / Self-Pay
$66
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $66 (1289%)
Insurance Median: $30 (586%)
Cash: $66 (1289% of Medicare)
Ins. Median: $30 (586% 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 586% of the Medicare baseline (a markup of 486%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $5 - $66 | 98% |
| Humana | $5 - $30 | 98% |
| Medicaid / KanCare | $5 - $41 | 98% |
| United Medical Resources Contracted [320454] | $5 | 98% |
| UnitedHealthcare | $5 - $30 | 98% |
| Summit Community Care Contracted [320368] | $7 | 137% |
| Summit Community Care [20368] | $7 | 137% |
| Blue Cross Blue Shield | $8 - $30 | 156% |
| Usable Contracted [320409] | $8 | 156% |
| Arkansas Total Care Contracted [320039] | $17 | 332% |
| Arkansas Total Care [20039] | $17 | 332% |
| Qual Choice Contracted [320324] | $22 | 430% |
| American Health Advantage Of Mo Mcr [20264] | $30 | 586% |
| Cherokee Nation Health Serv Contracted [320066] | $30 | 586% |
| Cross Timbers Hospice [20098] | $30 | 586% |
| Dept Of Veteran Affairs Contracted [320106] | $30 | 586% |
| Elara Caring Aspire Hospice Contracted [320433] | $30 | 586% |
| Elara Caring Aspire Hospice [20433] | $30 | 586% |
| Globalhealth Contracted [320145] | $30 | 586% |
| Halo Hcr Inc Hospice Contracted [320432] | $30 | 586% |
| Halo Hcr Inc Hospice [20432] | $30 | 586% |
| Independent Health [20197] | $30 | 586% |
| Indian Health Service Contracted [320198] | $30 | 586% |
| Indian Health Service [20198] | $30 | 586% |
| Jordan Valley Senior Care Pace [20515] | $30 | 586% |
| Kindful Hospice Contracted [320434] | $30 | 586% |
| Kindful Hospice [20434] | $30 | 586% |
| Medical Associates Health [20444] | $30 | 586% |
| Medicare (plans) | $30 - $31 | 586% |
| Mercy Hospice Okc [20252] | $30 | 586% |
| Pace Of The Ozarks [20518] | $30 | 586% |
| Provider Partners Health Plans Contracted [320450] | $30 | 586% |
| Qual Choice Contracted [320325] | $30 | 586% |
| Spina Bifida Hlthcare Benefit [20506] | $30 | 586% |
| Tricare | $30 | 586% |
| Valir Pace [20503] | $30 | 586% |
| Wellfirst Health Mcr [20443] | $30 | 586% |
| Cigna | $31 - $86 | 605% |
| Ambetter / Centene | $41 | 801% |
| Home State Health Plan Contracted [320187] | $41 | 801% |
| Novasys Contracted [320285] | $41 | 801% |
| Mercy Interfacility [20513] | $49 | 957% |
| Auxiant Contracted [320462] | $61 - $86 | 1191% |
| Mercy Benefit Admin Contracted [320251] | $61 - $86 | 1191% |
| Workers Comp [20426] | $66 | 1289% |
| Multiplan Contracted [320270] | $81 | 1582% |
| Private Health Care Systems Contracted [320320] | $81 | 1582% |
| 90 Degree Benefits Contracted [320436] | $86 | 1680% |
| Aither Health Contracted [320449] | $86 | 1680% |
| Ebms Contracted [320493] | $86 | 1680% |
| Edison Health Solutions Contracted [320502] | $86 | 1680% |
| Federal Medical Center Contracted [320127] | $86 | 1680% |
| Healthlink Contracted [320179] | $86 | 1680% |
| Healthscope Contracted [320182] | $86 | 1680% |
| Imagine 360 Contracted [320494] | $86 | 1680% |
| Insurance System Inc Contracted [320465] | $86 | 1680% |
| Personify Health Contracted [320051] | $86 | 1680% |
| Point C Contracted [320238] | $86 | 1680% |
| Ppo Plus Contracted [320310] | $86 | 1680% |
| Preferred Health Plan Contracted [320522] | $86 | 1680% |
| Reflect Health Contracted [320492] | $86 | 1680% |
| Show-Me Health Administrators Contracted [320483] | $86 | 1680% |
| Tri State Healthcare Coalition Contracted [320379] | $86 | 1680% |
| Municipal Health Plan Contracted [320271] | $91 | 1777% |