CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Healthone Rose

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $168
  • Cash Discount Price: $816
  • vs. Medicare Baseline: 32.81x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Healthone Rose is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $816. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 32.81x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.
Cash / Self-Pay
$816

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $816 (15938%)
Insurance Median: $168 (3281%)
Cash: $816 (15938% of Medicare)
Ins. Median: $168 (3281% 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 3281% of the Medicare baseline (a markup of 3181%). 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.

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 $2 - $525 39%
Aetna $5 - $433 98%
Blue Cross Blue Shield $5 - $607 98%
Bright Health $5 - $246 98%
Delaware Life Insurance $5 98%
Devoted Health $5 98%
Humana $5 98%
Innovage Pace $5 98%
Kaiser $5 - $213 98%
Mutual Of Omaha $5 98%
Rocky Mountain Health $5 98%
Rocky Mountain Health Plan $5 98%
Total Longterm Care $5 98%
Triwest Health Alliance $5 98%
United $5 - $369 98%
Wellcare $5 98%
Pinnacol Workers Comp $14 273%
Multiplan $15 - $738 293%
Vail Health $123 - $125 2402%
Colorado Program For Children With Special Needs $365 - $369 7129%
Western Plains Community Health $528 - $533 10313%
Northcare $568 - $574 11094%
Physician Health Partners $568 - $574 11094%
Medical Development International $650 - $656 12695%
Rocky Mtn Planned Parenthood $690 - $697 13477%
Prime Health $731 - $738 14277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4567 E 9Th Ave, Denver, CO 80220
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals