CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $38
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.42x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Southeast Georgia Health System -- Camden Campus is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 7.42x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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%)
Insurance Median: $38 (742%)
Ins. Median: $38 (742% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 742% of the Medicare baseline (a markup of 642%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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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 - $53 98%
Blue Cross Blue Shield $5 - $44 98%
Caresource $5 - $8 98%
Clover_Health $5 98%
Devoted_Health $5 98%
Humana $5 - $56 98%
Pruitthealth $5 98%
UnitedHealthcare $5 98%
United_Healthcare_Veterans_Administration $5 98%
Amerigroup_Community_Care $6 117%
Caresource_Georgia_Families $6 117%
Peachstate_Health_Plan $6 117%
Ambetter / Centene $8 156%
Sea_Island $44 859%
Sghs_Meritain $44 859%
Coventryone_Hix $48 938%
United_Healthcare $48 938%
Medishare $53 1035%
Choicecare $56 1094%
Cigna $56 1094%
First_Health_Southcare $56 1094%
Industry_Buying_Group_Ibg $56 1094%
One_Health_Great_West $56 1094%
Pponext $60 1172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Dan Proctor Drive, Saint Marys, GA 31558
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals