CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Northside Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $223
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Northside Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.
Cash / Self-Pay
$223

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: $223 (4355%)
Insurance Median: $6 (117%)
Cash: $223 (4355% 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
Access 2 Healthcare Physicians Freedom Health $1 - $31 20%
Access 2 Healthcare Physicians Optimum $1 - $31 20%
Avmed $1 - $107 20%
Freedom Health Care $1 - $33 20%
Optimum Healthcare $1 - $33 20%
Suncoast Neighborly Care $1 - $34 20%
Molina $3 - $116 59%
Simply Healthcare $3 - $66 59%
United $3 - $193 59%
Evolutions Healthcare Systems $4 - $395 78%
Sunshine State Health Plan $4 - $109 78%
Aetna $5 - $129 98%
Align Senior Care $5 98%
American Health Plan $5 98%
Baycare Health Plans $5 98%
Blue Cross Blue Shield $5 98%
Caresource $5 98%
Cigna $5 98%
Devoted Health $5 98%
Florida Complete Care $5 98%
Humana $5 - $120 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
Ultimate Health Plan $5 98%
United Va Ccn $5 98%
Wellcare $5 98%
Wellmed $5 98%
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%
Oscar $7 137%
Solis Health Plan $7 137%
Plotkin Health $8 - $215 156%
Prime Health Sheriff $8 - $215 156%
Multiplan $12 - $365 234%
Access 2 Healthcare Physicians Freedom Optimum Group Members $20 391%
Corvel Corporation $52 1016%
Rockport Healthcare Group $52 1016%
Prime Health $53 1035%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6000 49Th St N, Saint Petersburg, FL 33709
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals