CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Capital Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Capital Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $266 (5195%)
Insurance Median: $8 (156%)
Cash: $266 (5195% of Medicare)
Ins. Median: $8 (156% 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
Aetna $5 - $80 98%
Align Senior Care $5 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Cigna $5 98%
Florida Complete Care $5 98%
Humana $5 - $53 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
United $5 - $120 98%
United Behavioral Health $5 98%
Wellcare $5 98%
Wellmed $5 98%
Centurion $6 117%
Clear Spring Health $6 117%
Gadsden County Jail $6 117%
Gold Kidney Of Florida $6 117%
Longevity Health Plan $6 117%
Ultimate Health Plan $6 117%
Oscar $7 137%
Physician Network Association $7 137%
Simply Healthcare $8 156%
Naphcare $9 176%
Simply $41 801%
Corvel Corporation $47 918%
Prime Health $48 938%
Careworks (Rockport Community) $50 977%
Molina Healthcare $51 - $85 996%
Avmed $64 - $133 1250%
Sunshine State Health Plan $68 1328%
Plotkin Health $133 2598%
Prime Health Sheriff $133 2598%
Multiplan $208 - $226 4063%
Evernorth $213 4160%
Evolutions Healthcare $226 4414%
Ppo Next $226 4414%
Novanet $240 4688%
Beacon Health Options $266 5195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals