CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Jfk Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $47
  • Cash Discount Price: $471
  • vs. Medicare Baseline: 9.18x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Jfk Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $471. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.18x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$471

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $471 (9199%)
Insurance Median: $47 (918%)
Cash: $471 (9199% of Medicare)
Ins. Median: $47 (918% 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 918% of the Medicare baseline (a markup of 818%). 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 - $141 98%
Align $5 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Careplus Sfl $5 98%
Cigna $5 98%
Devoted Health $5 98%
Florida Complete Care $5 98%
Humana $5 - $160 98%
Ndms Definitive Care $5 98%
Oscar $5 - $7 98%
Palm Beach Pace $5 98%
Prominence Healthfirst $5 98%
Sunshine State $5 - $6 98%
United $5 - $212 98%
United Behavioral Health $5 98%
Veterans Evaluation Services $5 98%
Wellmed $5 98%
Amerihealth Caritas $6 - $8 117%
Centurion $6 117%
Doctors Healthcare Plan $6 117%
Gold Kidney $6 117%
Longevity Health Plan $6 117%
Simply Healthcare $6 117%
Solis Health Plan $7 137%
Freedom Health $41 - $75 801%
Optimum $41 801%
Corvel Corporation $53 1035%
Careworks (Rockport) $55 1074%
Prime Health $55 1074%
Avmed $61 - $236 1191%
Simply Healthcare Plans $61 1191%
Molina $80 - $127 1563%
Health Sun Health Plan $100 1953%
Aids Healthcare $104 - $565 2031%
Mmm Of Fl (Health Advantage Plan) $108 2109%
United Ppo $112 2188%
Sunshine State Health Plan $122 2383%
Blis $165 3223%
District Cares $236 4609%
Plotkin Health $236 4609%
Prime Health Sherriff $236 4609%
Medica Healthcare $278 5430%
Multiplan $353 - $400 6895%
Evernorth Bh $377 7363%
Healthy Palm Beaches $550 10742%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals