CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Lake City Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $48
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 9.38x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Lake City Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.38x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $425 (8301%)
Insurance Median: $48 (938%)
Cash: $425 (8301% of Medicare)
Ins. Median: $48 (938% 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 938% of the Medicare baseline (a markup of 838%). 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 - $128 98%
Align Senior Care $5 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Cigna $5 98%
Florida Complete Care $5 98%
Hospice Of North Central Fl $5 98%
Humana $5 - $85 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
United $5 - $191 98%
Wellcare $5 98%
Wellmed $5 98%
Centurion $6 117%
Clear Spring Health $6 117%
Gold Kidney Of Florida $6 117%
Longevity Health Plan $6 117%
Oscar $6 117%
Simply Healthcare $6 117%
Ultimate Health Plan $6 117%
Corvel Corporation $48 938%
Prime Health $49 957%
Careworks (Rockport Community) $50 977%
Avmed $51 - $212 996%
Simply $65 1270%
Evolutions $98 - $361 1914%
Sunshine State Health Plan $108 2109%
Molina Healthcare $136 2656%
Plotkin Health $212 4141%
Prime Health Sheriff $212 4141%
Hamilton County Jail $230 4492%
Multiplan $332 - $361 6484%
Ppo Next $361 7051%
Novanet $382 7461%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals