CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Aspen Valley Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $84
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 16.41x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Aspen Valley Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 16.41x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $84 (1641%)
Insurance Median: $84 (1641%)
Cash: $84 (1641% of Medicare)
Ins. Median: $84 (1641% 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 1641% of the Medicare baseline (a markup of 1541%). 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
Aetna $45 - $84 879%
Blue Cross Blue Shield $45 - $78 879%
Humana $45 - $80 879%
Medicare (plans) $45 879%
Tricare $45 - $84 879%
UnitedHealthcare $45 - $84 879%
Veterans Administration [100068] $45 879%
Cigna $59 - $84 1152%
Allied Benefit Systems [100015] $80 1563%
Geha [100039] $80 1563%
Healthscope [100157] $80 1563%
Aarp [100007] $84 1641%
Aig Travel [100255] $84 1641%
Aig [700029] $84 1641%
Ameriben [100266] $84 1641%
American Republic [100018] $84 1641%
Amtrust North America [700042] $84 1641%
Axa Travel [100256] $84 1641%
Bankers Life Casualty [100022] $84 1641%
Broadspire [700043] $84 1641%
Bupa Global [100257] $84 1641%
Ccmsi [700017] $84 1641%
Champ Va [500001] $84 1641%
Chp [300053] $84 1641%
Chubb Services [700054] $84 1641%
Companion Life Pivot Health [100258] $84 1641%
Corvel [700058] $84 1641%
Employee Benefit Management [100033] $84 1641%
Equitable Life [100160] $84 1641%
Esis Work Comp [700010] $84 1641%
Freedom Life Insurance Company [100158] $84 1641%
Gallagher Bassett Work Comp [700013] $84 1641%
Generic Commercial [109999] $84 1641%
Generic Other [509999] $84 1641%
Generic Travel Insurance [109998] $84 1641%
Generic Workers' Comp [709999] $84 1641%
Gerber Life Insurance [100265] $84 1641%
Global Excel [100259] $84 1641%
Gmmi [100260] $84 1641%
Hartford Work Comp [700055] $84 1641%
Harvard Pilgrim Healthcare [100241] $84 1641%
Health Net [100261] $84 1641%
Imagine 360 [100043] $84 1641%
Kaiser Permanente [100254] $84 1641%
Liberty Healthshare [100262] $84 1641%
Liberty Mutual Work Comp [700016] $84 1641%
Marriott Claim [700056] $84 1641%
Medi Share [100263] $84 1641%
Medicaid / KanCare $84 1641%
Mutual Of Omaha [100074] $84 1641%
Owcp [700057] $84 1641%
Physicians Mutual [100075] $84 1641%
Pinnacol Assurance Wc [700059] $84 1641%
Relations Insurance Kaiser [800004] $84 1641%
Sedgwick [700027] $84 1641%
Sentinel Security Life [100264] $84 1641%
Skico Ortho Alternative Payer [100163] $84 1641%
Transamerica [100097] $84 1641%
Travelers Work Comp [700028] $84 1641%
Tufts Health Plan [100268] $84 1641%
United American Insurance [100119] $84 1641%
Usaa Life Insurance Company [100155] $84 1641%
Wea [100120] $84 1641%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals