CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Santa Rosa Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Santa Rosa Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $24 (469%)
Insurance Median: $5 (98%)
Cash: $24 (469% of Medicare)
Ins. Median: $5 (98% 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
Self Pay $1 - $37 20%
Aetna $2 - $89 39%
Fl Community Care $3 59%
Humana $3 - $5 59%
Medicaid / KanCare $3 59%
Molina $3 59%
Prime Health Services $3 - $127 59%
Tricare $3 - $5 59%
Wellcare $3 59%
Blue Cross Blue Shield $4 - $159 78%
Cigna $4 - $36 78%
Hospice Of Nw Fl $4 - $5 78%
Medicare (plans) $4 - $5 78%
Node Champva $4 - $5 78%
Node Va $4 - $5 78%
Node Wellcare Mcr Adv $4 - $5 78%
Oscar $4 - $7 78%
UnitedHealthcare $4 - $31 78%
Veterans Eval Services $4 - $5 78%
Geo Group $5 - $6 98%
Node Us Dept Of Labor $5 - $6 98%
Florida State Auto Insurance $9 - $10 176%
Ambetter / Centene $10 - $12 195%
Florida Workers Compensation $11 215%
Prime Health Work Comp Fl $11 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals