CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: UF Health Shands Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at UF Health Shands Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$19

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: $19 (371%)
Insurance Median: $9 (176%)
Cash: $19 (371% 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 - $30 59%
Amerihealth Caritas Florida $3 59%
Beacon Health Strategies $3 59%
Community Care Plan $3 59%
Florida Community Care $3 59%
Humana $3 - $5 59%
Molina $3 59%
Sunshine State Health Plan $3 59%
UnitedHealthcare $3 - $5 59%
Simply Healthcare $4 78%
Avmed $5 98%
Blue Cross Blue Shield $5 - $20 98%
Capital Health Plan $5 - $18 98%
Carelon Health $5 98%
Careplus $5 98%
North Central Hospice $5 98%
Vha $5 98%
Wellcare $5 98%
Ahf Mco Of Fl $6 117%
Devoted Health Plan $6 117%
Freedom Health- Inc./Optimum Healthcare- Inc. $6 117%
Ghilcrest County $6 117%
Levy County $6 117%
Positive Healthcare Partners $6 117%
Wellpath $8 156%
Uaa $12 - $14 234%
Ambetter / Centene $13 - $15 254%
Northeast Fl Hospital $14 - $16 273%
Florida Health Care Plan $16 - $18 313%
Health First $22 - $26 430%
Prime Health Services $22 - $26 430%
Archbold Medical Center $24 - $28 469%
Cigna $24 - $28 469%
Genex $24 - $28 469%
Corvel Corp $27 - $31 527%
Geha $29 - $33 566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals