CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Tift Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Tift Regional Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $6 (117%)
Insurance Median: $5 (98%)
Cash: $6 (117% of Medicare)
Ins. Median: $5 (98% 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
Blue Cross Blue Shield $1 - $103 20%
Humana $2 - $52 39%
Self Pay 50 $2 - $52 39%
Aetna $3 - $89 59%
Misc Commercial Insurance Plans $3 - $93 59%
Self Pay $3 - $93 59%
UnitedHealthcare $3 - $87 59%
Va Contract $3 - $4 59%
Caresource Marketplace Exchange $4 - $8 78%
Cigna $4 - $94 78%
Clover Health $4 - $5 78%
Health One Alliance $4 - $7 78%
Hospice $4 - $5 78%
Medicare (plans) $4 - $5 78%
Misc Non Contracted Commercial Plans $4 - $103 78%
Peach State Health Plan $4 78%
Pruitt Health Premier $4 - $6 78%
Tricare $4 - $5 78%
Wellcare $4 - $7 78%
Zelis Network Solutions $4 - $10 78%
Amerigroup $7 137%
Medicaid / KanCare $7 137%
Peachstate $7 137%
Caresource $8 156%
Ga Workers Comp $9 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals