CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Grady Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Grady Memorial Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.
Cash / Self-Pay
$149

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: $149 (2910%)
Insurance Median: $8 (156%)
Cash: $149 (2910% 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 - $66 98%
Ambetter / Centene $5 - $22 98%
Blue Cross Blue Shield $5 - $119 98%
Cigna $5 - $88 98%
Clear Spring Health $5 98%
Clover $5 98%
Humana $5 98%
Kaiser $5 - $113 98%
Medicare (plans) $5 98%
UnitedHealthcare $5 - $107 98%
Vaccn $5 98%
Wellcare $5 98%
Amerigroup $6 - $24 117%
Caresource $6 - $22 117%
Peach State $6 - $22 117%
Usp Naphcare $6 - $89 117%
Oscar Health $7 - $97 137%
Multiplan $115 2246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals