CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Verde Valley Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Verde Valley Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $69 (1348%)
Insurance Median: $7 (137%)
Cash: $69 (1348% of Medicare)
Ins. Median: $7 (137% 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
Aetna $5 - $120 98%
Ahcccs $5 98%
Community Health Center Of Yavapai $5 98%
Devoted $5 98%
Health Choice $5 - $10 98%
Health Choice Integrated Care $5 98%
Health Net Federal $5 98%
Humana $5 98%
Medicare (plans) $5 98%
Mercy Care Advantage $5 98%
Mercy Care Rhba $5 98%
Snf Vvmc $5 98%
UnitedHealthcare $5 - $128 98%
University Of Arizona Health Plans $5 - $7 98%
Va Pccc Triwest $5 98%
Vvmc 30/70 $5 98%
Wellcare $5 98%
Wellcare By Allwell $5 98%
Ambetter / Centene $6 117%
Gold Kidney $6 117%
Ahcccs Other $7 137%
Care 1St $7 137%
Health Choice Arizona $7 137%
Health Net Of Arizona $7 137%
Mercy Care $7 137%
Nhi Out Of State Ahcccs $7 137%
Vvmc Jail $7 137%
Pnoa-Provider Network Of America $8 156%
Naphcare $9 - $10 176%
Self Pay $69 - $139 1348%
Self-Pay 50% Discount $69 1348%
Blue Cross Blue Shield $81 - $101 1582%
Workers Comp $90 1758%
Copperpoint $101 1973%
Cigna $125 2441%
Vvmc 90/10 $125 2441%
Auto Insurance $5,000 97656%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals