CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Palms West Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $55
  • Cash Discount Price: $642
  • vs. Medicare Baseline: 10.74x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Palms West Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $642. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 10.74x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$642

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $642 (12539%)
Insurance Median: $55 (1074%)
Cash: $642 (12539% of Medicare)
Ins. Median: $55 (1074% 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 1074% of the Medicare baseline (a markup of 974%). 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 - $193 98%
Align $5 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 98%
Careplus Sfl $5 98%
Cigna $5 98%
Devoted Health $5 98%
Florida Complete Care $5 98%
Humana $5 - $218 98%
Ndms Definitive Care $5 98%
Oscar $5 - $7 98%
Prominence Healthfirst $5 98%
Sunshine State $5 - $6 98%
United $5 - $289 98%
Veterans Evaluation Services $5 98%
Wellmed $5 98%
Amerihealth Caritas $6 - $8 117%
Centurion $6 117%
Doctors Healthcare Plan $6 117%
Gold Kidney $6 117%
Longevity Health Plan $6 117%
Simply Healthcare $6 117%
Solis Health Plan $7 137%
Corvel Corporation $53 1035%
Careworks (Rockport) $55 1074%
Freedom Health $55 - $103 1074%
Optimum $55 1074%
Prime Health $55 1074%
Avmed $83 - $321 1621%
Simply Healthcare Plans $83 1621%
Molina $122 - $173 2383%
Health Sun Health Plan $137 2676%
Aids Healthcare $141 - $770 2754%
Mmm Of Fl (Health Advantage Plan) $148 2891%
United Ppo $152 2969%
Sunshine State Health Plan $167 3262%
Health Care District $321 6270%
Palm Beach Juvenile Correction $321 6270%
Plotkin Health $321 6270%
Prime Health Sherriff $321 6270%
Medica Healthcare $372 7266%
Multiplan $482 - $546 9414%
Healthy Palm Beaches $550 10742%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals