CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Baptist Health Medical Center - Jacksonville is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $16 (313%)
Insurance Median: $9 (176%)
Cash: $16 (313% of Medicare)
Ins. Median: $9 (176% 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
Aetna $3 - $19 59%
Amerigroup Of Georgia $3 59%
Amerihealth Caritas $3 59%
Caresource Of Georgia $3 - $16 59%
Daniel Memorial $3 59%
Florida Community Care $3 - $5 59%
Humana $3 59%
Molina Healthcare Of Florida $3 59%
Peach State Health Plan $3 - $16 59%
Simply Healthcare Plans $3 59%
Simply Healthcare Plans - Cha $3 59%
Sunshine State Health Plan $3 59%
United Community Plan $3 59%
Vivida Health $3 59%
Non-Contracted $4 - $11 78%
Blue Cross Blue Shield $5 - $16 98%
Community Hospice Of Northeast Florida $5 98%
Devoted $5 98%
Pace $5 98%
Tomorrow'S Rainbow $5 98%
UnitedHealthcare $5 - $13 98%
Va Ccn $5 98%
Upmc $6 117%
Avmed $8 - $12 156%
Cigna $9 - $15 176%
Borland Groover $10 195%
Northeast Florida State Hospital $10 - $11 195%
Occunet $10 - $12 195%
Capital Health Plan $11 215%
Centivo $11 - $20 215%
Corvel $11 - $24 215%
Coventry Workers Comp $11 - $24 215%
Innovative Healthware Services $11 215%
Ambetter / Centene $12 234%
Geo Group $12 234%
Volusia Health Network $13 254%
Watchtower $13 254%
Fscj Student Insurance $14 273%
Suddath Company $15 293%
Medicaid / KanCare $16 313%
Uf Health Proton Therapy Institute $17 332%
Phcs $18 - $19 352%
Evolutions Healthcare $22 430%
Multiplan $22 430%
United Behavioral Health $517 10098%
Nemours Research $983 19199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals