CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Baptist Medical Center - Nassau

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Baptist Medical Center - Nassau is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $15 (293%)
Insurance Median: $10 (195%)
Cash: $15 (293% of Medicare)
Ins. Median: $10 (195% 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%
Daniel Memorial $3 59%
Florida Community Care $3 - $5 59%
Humana $3 59%
Molina Healthcare Of Florida $3 59%
Nassaua County Sheriff'S Office $3 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%
Community Hospice Of Northeast Florida $5 98%
Devoted $5 98%
Pace $5 98%
Tomorrow'S Rainbow $5 98%
UnitedHealthcare $5 - $12 98%
Va Ccn $5 98%
Upmc $6 117%
Blue Cross Blue Shield $7 - $16 137%
Avmed $8 - $18 156%
Borland Groover $10 195%
Northeast Florida State Hospital $10 195%
Occunet $10 195%
Capital Health Plan $11 215%
Centivo $11 - $20 215%
Ambetter / Centene $12 234%
Geo Group $12 234%
Watchtower $13 254%
Fscj Student Insurance $14 273%
Savannah Grand Of Amelia Island $14 273%
Cigna $15 - $18 293%
Suddath Company $15 293%
Medicaid / KanCare $16 313%
Peach State Health Plan $16 313%
Phcs $18 352%
Evolutions Healthcare $22 430%
Multiplan $22 430%
Corvel $24 469%
Coventry Workers Comp $24 469%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals