CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida North Florida Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $30
  • Cash Discount Price: $869
  • vs. Medicare Baseline: 5.86x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida North Florida Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $869. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.86x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$869

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $869 (16973%)
Insurance Median: $30 (586%)
Cash: $869 (16973% of Medicare)
Ins. Median: $30 (586% 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 586% of the Medicare baseline (a markup of 486%). 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 - $261 98%
Align Senior Care $5 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Capital Health Plan $5 98%
Cigna $5 98%
Florida Complete Care $5 98%
Hospice Of North Central Fl $5 98%
Humana $5 - $174 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
United $5 - $391 98%
United Behavioral Health $5 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 $54 1055%
Prime Health $55 1074%
Careworks (Rockport Community) $57 1113%
Avmed $104 - $435 2031%
Simply $134 2617%
Molina Healthcare $165 - $278 3223%
Evolutions $200 3906%
Sunshine State Health Plan $222 4336%
Plotkin Health $435 8496%
Prime Health Sheriff $435 8496%
Corizon Phs $522 10195%
Multiplan $678 - $739 13242%
Evernorth $695 13574%
Evolutions Healthcare $739 14434%
Ppo Next $739 14434%
Novanet $782 15273%
Beacon Health Options $869 16973%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals