CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Gunnison Valley Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $50
Cash Discount Price: $52
vs. Medicare Baseline: 9.77x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Gunnison Valley Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.77x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $52 (1016%)

Insurance Median: $50 (977%)

Cash: $52 (1016% of Medicare)

Ins. Median: $50 (977% 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 977% of the Medicare baseline (a markup of 877%). 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
Medicaid / KanCare	$6	117%
Medicare (plans)	$30	586%
Gunnison County Coroner Op Only	$31	605%
Gunnison County Sheriff Op & Profee Only	$31	605%
Ebms Hdhp	$37	723%
Tetwp Op & Profee Only-All Plans	$37	723%
U Of Co Transplant-All Plans	$37	723%
Ebms Ppo Plan-All Other Plans	$43	840%
Gunnison County Employees-All Other Plans	$49	957%
Scottish Rites-All Plans	$49	957%
Elap Employers-All Plans	$52	1016%
Blue Cross Blue Shield	$53	1035%
Apostrophe-All Plans	$55	1074%
Multiplan-All Plans	$57	1113%
Rocky Mountain Health-All Plans	$58	1133%
UnitedHealthcare	$58	1133%
Aetna	$59	1152%
Cofinity-All Plans	$59	1152%
Cigna	$60	1172%

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 $52.
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 Gunnison Valley Hospital 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.