CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Banner Fort Collins Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Banner Fort Collins Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $4 (78%)
Insurance Median: $10 (195%)
Cash: $4 (78% of Medicare)
Ins. Median: $10 (195% 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
Blue Cross Blue Shield $5 - $10 98%
Cigna $5 98%
Clear Spring Health $5 98%
Devoted Health Services $5 98%
Healthspring Life & Health Insurance Company, Inc. $5 98%
Humana $5 98%
Longevity $5 98%
Medica $5 - $13 98%
Medicare (plans) $5 98%
UnitedHealthcare $5 - $13 98%
Assist Health Group $6 117%
Banner Health $7 137%
Pinnacol Assurance Workers Comp $8 156%
Denver Health Medical Plan $9 176%
Hue Health, Inc $11 - $13 215%
Centivo $12 234%
Aetna $14 273%
Apostrophe, Inc. $14 273%
Decent Health $14 273%
First Choice Health Network $14 273%
Rocky Mountain Health Plans $14 273%
First Choice Of The Midwest $15 293%
Multiplan $15 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals