CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Florida Poinciana Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $1,073
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Florida Poinciana Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,073. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$1,073

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: $1,073 (20957%)
Insurance Median: $8 (156%)
Cash: $1,073 (20957% 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 - $322 98%
Align Senior Care $5 98%
American Health Plan $5 98%
Avmed $5 - $537 98%
Blue Cross Blue Shield $5 98%
Cigna $5 98%
Devoted Health $5 98%
Fl Health Care Plan $5 98%
Florida Complete Care $5 98%
Humana $5 - $300 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
United $5 - $483 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%
Ultimate Health Plan $6 117%
Oscar $7 137%
Solis Health Plan $7 137%
Simply Healthcare $8 156%
Corvel Corporation $51 996%
Prime Health $52 1016%
Careworks (Rockport Community) $54 1055%
Freedom Health $77 1504%
Optimum $77 1504%
Simply $165 3223%
Molina Healthcare $204 - $290 3984%
Evolutions $247 4824%
Sunshine State Health Plan $274 5352%
Plotkin Health $537 10488%
Prime Health Sheriff $537 10488%
Multiplan $805 - $912 15723%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals