CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Griffin Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Griffin Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 130 Division St, Derby, CT.
Cash / Self-Pay
$5

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: $5 (98%)
Insurance Median: $10 (195%)
Cash: $5 (98% 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
Oxford $3 59%
UnitedHealthcare $3 59%
Blue Cross Blue Shield $7 - $75 137%
Connecticare (Cbi) $9 176%
Aetna $10 - $11 195%
Connecticare (Cci) $10 195%
Cigna $19 371%
Centivo $66 1289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Division St, Derby, CT 06418
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals