CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $51
  • Cash Discount Price: $697
  • vs. Medicare Baseline: 9.96x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Twin Cities Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $697. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.96x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$697

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $697 (13613%)
Insurance Median: $51 (996%)
Cash: $697 (13613% of Medicare)
Ins. Median: $51 (996% 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 996% of the Medicare baseline (a markup of 896%). 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 $5 - $209 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Florida Complete Care $5 98%
Healthspring Of Florida $5 98%
Humana $5 - $265 98%
Ndms Definitive Care $5 98%
Regency Hospice $5 98%
Sunshine State $5 98%
United $5 - $314 98%
Wellcare $5 98%
Wellmed $5 98%
Centurion $6 117%
Clear Spring Health $6 117%
Gold Kidney Of Florida $6 117%
Longevity Health Plan $6 117%
Ultimate Health Plan $6 117%
Oscar $7 137%
Simply Healthcare $8 156%
Corvel Corporation $51 996%
Prime Health $53 1035%
Careworks (Rockport Community) $54 1055%
Simply $107 2090%
Molina Healthcare $132 - $223 2578%
Avmed $167 - $348 3262%
Sunshine State Health Plan $178 3477%
Plotkin Health $348 6797%
Prime Health Sheriff $348 6797%
Evolutions Healthcare $453 - $592 8848%
Multiplan $544 - $592 10625%
Ppo Next $592 11563%
Novanet $627 12246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals