CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Hialeah Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $307
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Hialeah Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$307

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $307 (5996%)
Insurance Median: $6 (117%)
Cash: $307 (5996% of Medicare)
Ins. Median: $6 (117% 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
Cigna $3 - $90 59%
Humana $3 - $141 59%
Medicaid / KanCare $3 59%
UnitedHealthcare $3 - $5 59%
Avmed Broad Network $4 78%
Veterans Administration Mill Bill $4 78%
Aetna $5 - $221 98%
Bristol Hospice- Miami Dade Llc $5 98%
Catholic Hospice $5 98%
Comprehensive Home Health Care Dba Opuscare Of South Florida $5 98%
Devoted Health $5 98%
Employer Direct Healthcare $5 - $6 98%
Hcr Manor Care Services Of Fl $5 98%
Healthsun Health Plans $5 98%
Hospice Other $5 98%
Leon Health Inc $5 98%
Longevity Health Plan $5 98%
Medicare (plans) $5 - $11 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $5 98%
Seasons Hospice And Pallative Care Of Southern Florida Inc $5 98%
Tricare $5 98%
Veterans Administration Vaccn $5 98%
Vitas Healthcare Hospice Corporation Of Fl $5 98%
Vitas Hospice Unit Agreement $5 98%
Bright Health Management Commercial $6 117%
Florida Pace Centers $6 117%
Imagine Health $6 117%
Oscar Health Plan Hix $6 117%
Self Pay/Uninsured $6 117%
Naphcare Inc $7 137%
Ambetter / Centene $9 176%
Avmed Exchange $9 176%
Auto Insurance $10 195%
Avmed Select Network $10 195%
Molina Marketplace Program Exchange $10 195%
Amerihealth Caritas Next Exchange $11 215%
Dimension Health Wc $11 215%
Workers Compensation $11 215%
Bc/Bs Myblue Hmo Hix $38 742%
Bc/Bs Of Fl Health Options Hmo $41 801%
Bc/Bs Of Fl Simplyblue $41 801%
Bc/Bs Of Fl Network Blue $44 859%
Bc/Bs Of Fl Ppo $44 859%
Bc/Bs Of Fl Blue Select Exchange Non Par $47 918%
Bc/Bs Of Fl Miami Dade Blue Select $47 918%
Bc/Bs Of Fl Phs $159 3105%
Dimensions International $200 3906%
First Health $209 4082%
Dimension Health Ppo $231 4512%
Commercial Non-Contracted $307 5996%
Self Pay - Mcd Pending 100 Percent $307 5996%
Single Case Agreement $307 5996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals