CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: East Georgia Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at East Georgia Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 1499 Fair Road, Statesboro, GA.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $78 (1523%)
Insurance Median: $9 (176%)
Cash: $78 (1523% of Medicare)
Ins. Median: $9 (176% 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
Tricare $4 78%
Blue Cross Blue Shield $5 - $90 98%
Caresource Mcr Adv $5 98%
Health Net Va $5 98%
Humana $5 98%
Medicaid / KanCare $5 - $7 98%
Medicare (plans) $5 98%
Node Champva $5 98%
Node Clover Health Mcr Adv $5 98%
Node Non Par Hospice Agree $5 98%
Node Va $5 98%
UnitedHealthcare $5 - $10 98%
Veterans Eval Services $5 98%
Node Us Dept Of Labor $6 117%
Peach State Hlth Plan Mcaid Ga $7 137%
Ambetter / Centene $9 176%
Caresource Exchange $9 176%
Ga Work Comp $9 176%
Prime Health Work Comp $9 176%
Three Rivers Wc $9 176%
Department Of Health $14 273%
Aetna $18 - $900 352%
Self Pay $68 - $88 1328%
Ibg $88 - $113 1719%
Industry Buying Group $93 1816%
Coventry $143 2793%
Three Rivers Provider Network $151 2949%
First Health $188 3672%
Prime Health Commercial $201 3926%
Novanet $213 4160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1499 Fair Road, Statesboro, GA 30458
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals