CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $29
  • Cash Discount Price: $481
  • vs. Medicare Baseline: 5.66x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Oak Hill Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.66x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.
Cash / Self-Pay
$481

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $481 (9395%)
Insurance Median: $29 (566%)
Cash: $481 (9395% of Medicare)
Ins. Median: $29 (566% 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 566% of the Medicare baseline (a markup of 466%). 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 - $144 98%
Align Senior Care $5 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Caresource $5 98%
Cigna $5 98%
Devoted Health $5 98%
Florida Complete Care $5 98%
Hernando-Pasco Hospice $5 98%
Humana $5 - $135 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
Ultimate Health Plan $5 98%
United $5 - $217 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%
Secur $6 117%
Simply Healthcare $6 - $74 117%
Oscar $7 137%
Access 2 Healthcare Physicians Freedom Optimum Group Members $23 449%
Access 2 Healthcare Physicians Freedom Health $35 684%
Access 2 Healthcare Physicians Optimum $35 684%
Freedom Health Care $38 742%
Optimum Healthcare $38 742%
Avmed $39 - $120 762%
Corvel Corporation $52 1016%
Rockport Healthcare Group $52 1016%
Prime Health $53 1035%
Molina $91 - $130 1777%
Evolutions Healthcare Systems $111 - $443 2168%
Sunshine State Health Plan $123 2402%
Plotkin Health $241 4707%
Prime Health Sheriff $241 4707%
Multiplan $361 - $409 7051%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11375 Cortez Blvd, Brooksville, FL 34613
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals