CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Shands Jacksonville

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $35
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 6.84x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Shands Jacksonville is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 6.84x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $35 (684%)
Insurance Median: $35 (684%)
Cash: $35 (684% of Medicare)
Ins. Median: $35 (684% 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 684% of the Medicare baseline (a markup of 584%). 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 $3 - $52 59%
Amerihealth Caritas Florida $3 59%
Carelon Health $3 59%
Community Care Plan $3 59%
Florida Community Care $3 59%
Humana $3 - $54 59%
Molina $3 - $7 59%
Simply Healthcare $3 59%
Ameri-Plus Preferred Care $5 98%
Avmed $5 - $35 98%
Beacon Health Strategies $5 98%
Blue Cross Blue Shield $5 - $971 98%
Capital Health Plan $5 - $32 98%
Careplus Health Plan $5 98%
Devoted Health Plan $5 - $6 98%
Florida Health Care Plan $5 - $9 98%
UnitedHealthcare $5 - $407 98%
Florida Complete Care $6 117%
Positive Healthcare Partners $6 117%
Wellcare Of Florida $6 117%
Ambetter / Centene $8 156%
Wellpath $8 156%
Volusia Health Network $26 - $27 508%
Northeast Florida State Hospital $27 - $28 527%
North Florida Evaluation & Treatment Center $29 - $30 566%
Centivo $34 - $35 664%
Disney Cruise Line $37 - $38 723%
Cigna $39 762%
Health First Health Plan $41 - $47 801%
Mental Health Associates $41 801%
Prime Health Services $44 - $47 859%
Florida Health Alliance $45 879%
Archbold Medical Center $47 918%
Genex $47 918%
Rockport Provider $47 918%
Corvel Corp $53 - $54 1035%
First Health $53 - $54 1035%
Florida Hospital Healthcare System $53 - $54 1035%
Medsave Usa Tpa $53 - $54 1035%
Fringe Benefits Coordinators $56 - $60 1094%
Multiplan $56 - $57 1094%
Novanet $56 - $57 1094%
Truli For Health $375 7324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals