CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Marion Communtiy Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Marion Communtiy Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $271 (5293%)
Insurance Median: $9 (176%)
Cash: $271 (5293% of Medicare)
Ins. Median: $9 (176% 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
Align Senior Care $5 98%
American Health Plan $5 98%
Avmed $5 - $76 98%
Blue Cross Blue Shield $5 98%
Cigna $5 98%
Devoted Health $5 98%
Florida Complete Care $5 98%
Freedom Optimum $5 98%
Humana $5 - $54 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
United $5 - $122 98%
Va Purchased Care Program $5 98%
Veterans Evaluation Services $5 98%
Wellcare $5 98%
Wellmed $5 98%
Aetna $6 - $81 117%
Careplus $6 117%
Centurion $6 117%
Clear Spring Health $6 117%
Gold Kidney Of Florida $6 117%
Longevity Health Plan $6 117%
Secur $6 117%
Simply Healthcare $6 117%
Ultimate Health Plan $6 117%
Naphcare $11 - $12 215%
University Ma Federal Corrections $11 215%
Wellpath $11 - $12 215%
Simply $42 820%
Corvel Corporation $49 957%
Prime Health $50 977%
Careworks (Rockport Community) $51 996%
Marion County Schools $51 996%
Molina Healthcare $51 - $87 996%
Evolutions $62 1211%
Evolutions Healthcare $62 1211%
Sunshine State Health Plan $69 1348%
Plotkin Health $135 2637%
Prime Health Sheriff $135 2637%
Multiplan $211 4121%
Ppo Next $230 4492%
Novanet $244 4766%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals