CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $109
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 21.29x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 21.29x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $217 (4238%)
Insurance Median: $109 (2129%)
Cash: $217 (4238% of Medicare)
Ins. Median: $109 (2129% 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 2129% of the Medicare baseline (a markup of 2029%). 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
United Hc $3 - $433 59%
Aetna $4 - $238 78%
Blue Cross Blue Shield $4 - $325 78%
Cigna $4 - $260 78%
Careplus $5 - $87 98%
Devoted $5 - $91 98%
Humana $5 - $281 98%
Evolutions $6 - $346 117%
Freedom Health $6 117%
Optimum $6 117%
Avmed $7 - $260 137%
Baycare $7 - $87 137%
Health First $8 - $238 156%
Multiplan $8 - $346 156%
Molina $85 1660%
Emerging Therapies $260 5078%
UnitedHealthcare $260 5078%
First Health $325 6348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12902 Magnolia Dr, Tampa, FL 33612
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL