CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Oviedo Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $233
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Oviedo Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$233

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $233 (4551%)
Insurance Median: $6 (117%)
Cash: $233 (4551% of Medicare)
Ins. Median: $6 (117% 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 - $70 98%
Align Senior Care $5 98%
American Health Plan $5 98%
Avmed $5 - $117 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 - $47 98%
Ndms Definitive Care $5 98%
Sunshine State $5 98%
United $5 - $105 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%
Freedom Health $17 332%
Optimum $17 332%
Simply $36 703%
Molina Healthcare $44 859%
Prime Health $52 1016%
Evolutions $54 1055%
Sunshine State Health Plan $59 1152%
Florida Health Care Plan $88 1719%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals