CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Brandon Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $23
  • Cash Discount Price: $835
  • vs. Medicare Baseline: 4.49x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Brandon Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $835. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 4.49x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
$835

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $835 (16309%)
Insurance Median: $23 (449%)
Cash: $835 (16309% of Medicare)
Ins. Median: $23 (449% 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 449% of the Medicare baseline (a markup of 349%). 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.

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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 - $250 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 - $234 98%
Lifepath Hospice $5 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
Ultimate Health Plan $5 98%
United $5 - $376 98%
United Behavioral Health $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%
Simply Healthcare $6 - $129 117%
Oscar $7 137%
Solis Health Plan $7 137%
Access 2 Healthcare Physicians Freedom Optimum Group Members $39 762%
Corvel Corporation $52 1016%
Rockport Healthcare Group $52 1016%
Prime Health $53 1035%
Access 2 Healthcare Physicians Freedom Health $60 1172%
Access 2 Healthcare Physicians Optimum $60 1172%
Freedom Health Care $65 1270%
Optimum Healthcare $65 1270%
Avmed $67 - $209 1309%
Molina $159 - $225 3105%
Evolutions Healthcare Systems $192 - $768 3750%
Sunshine State Health Plan $213 4160%
Beacon Health Options $417 8145%
Plotkin Health $417 8145%
Prime Health Sheriff $417 8145%
Multiplan $626 - $709 12227%
Evernorth $668 13047%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals