CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Kendall Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $12
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 2.34x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Kendall Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 2.34x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$168

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $168 (3281%)
Insurance Median: $12 (234%)
Cash: $168 (3281% of Medicare)
Ins. Median: $12 (234% 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 234% of the Medicare baseline (a markup of 134%). 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 - $50 98%
Align $5 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Careplus Sfl $5 98%
Cigna $5 98%
Devoted Health $5 98%
Florida Complete Care $5 98%
Humana $5 - $57 98%
Leon Health $5 98%
Ndms Definitive Care $5 98%
Oscar $5 - $7 98%
Prominence Healthfirst $5 98%
Sunshine State $5 - $6 98%
United $5 - $76 98%
United Behavioral Health $5 98%
Veterans Evaluation Services $5 98%
Wellmed $5 98%
Amerihealth Caritas $6 - $8 117%
Avmed $6 - $84 117%
Centurion $6 117%
Doctors Healthcare Plan $6 117%
Gold Kidney $6 117%
Longevity Health Plan $6 117%
Simply Healthcare $6 117%
Solis Health Plan $7 137%
Naphcare $9 176%
Seven Corners $11 - $12 215%
Wellpath $11 - $12 215%
Freedom Health $14 - $27 273%
Optimum $14 273%
Simply Healthcare Plans $22 430%
Molina $32 - $45 625%
Health Sun Health Plan $36 703%
Aids Healthcare $37 - $202 723%
Mmm Of Fl (Health Advantage Plan) $39 762%
United Ppo $40 781%
Sunshine State Health Plan $44 859%
Corvel Corporation $55 1074%
Careworks (Rockport) $57 1113%
Prime Health $57 1113%
Plotkin Health $84 1641%
Prime Health Sherriff $84 1641%
Medica Healthcare $97 1895%
Multiplan $126 - $143 2461%
Evernorth Bh $134 2617%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals