CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Palmetto General Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Palmetto General Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $66 (1289%)
Insurance Median: $6 (117%)
Cash: $66 (1289% of Medicare)
Ins. Median: $6 (117% 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 $2 - $47 39%
Cigna $3 - $33 59%
Humana $3 - $27 59%
Medicaid / KanCare $3 - $66 59%
UnitedHealthcare $3 - $5 59%
Veterans Administration Mill Bill $4 78%
Avmed Broad Network $5 98%
Bristol Hospice- Miami Dade Llc $5 98%
Catholic Hospice $5 98%
Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc $5 98%
Devoted Health $5 98%
Employer Direct Healthcare $5 - $6 98%
Healthsun Health Plans $5 98%
Hospice Other $5 98%
Ima Evalutations Inc $5 98%
Leon Health Inc $5 98%
Longevity Health Plan $5 98%
Medicare (plans) $5 - $66 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $5 98%
Opuscare Of South Fl $5 98%
Seasons Hospice And Pallative Care Of Southern Florida Inc $5 98%
Select Specialty Hospital $5 98%
Tricare $5 98%
Veterans Administration Vaccn $5 98%
Vitas Healthcare Hospice $5 98%
Westchester General Hospital $5 98%
Bright Health Management Commercial $6 117%
Florida Pace Centers $6 117%
Imagine Health $6 117%
Oscar Health Plan Hix $6 117%
Self Pay/Uninsured $6 117%
Naphcare Inc $7 137%
Ambetter / Centene $9 176%
Avmed Exchange $9 176%
Auto Insurance $10 195%
Avmed Select Network $10 195%
Bc/Bs Myblue Hmo Hix $10 195%
Bc/Bs Of Fl Blue Select Exchange Non Par $10 195%
Bc/Bs Of Fl Health Options Hmo $10 195%
Bc/Bs Of Fl Network Blue $10 195%
Bc/Bs Of Fl Ppo $10 195%
Bc/Bs Of Fl Simplyblue $10 195%
Molina Marketplace Program Exchange $10 195%
Amerihealth Caritas Next Exchange $11 215%
Dimension Health Wc $11 215%
Workers Compensation $11 215%
Bc/Bs Of Fl Miami Dade Blue Select $13 254%
Bc/Bs Of Fl Phs $33 645%
Liga Contra El Cancer $33 645%
Magellan Behavioral Health $40 781%
Dimensions International $43 840%
First Health $45 879%
Dimension Health Ppo $50 977%
Beacon Health Strategies Commercial $66 1289%
Commercial Non-Contracted $66 1289%
Self Pay - Mcd Pending 100 Percent $66 1289%
Single Case Agreement $66 1289%
United Behavioral Health Psych $66 1289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 W 68Th St, Hialeah, FL 33016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals