CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Doctors Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $154
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Doctors Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$154

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: $154 (3008%)
Insurance Median: $5 (98%)
Cash: $154 (3008% 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
Humana $4 - $5 78%
Absolute Total Care $5 - $28 98%
Aetna $5 - $85 98%
Blue Cross Blue Shield $5 - $6 98%
Caresource $5 98%
Clover $5 98%
Coventry $5 98%
Devoted Health $5 98%
Eon Health $5 98%
Friday Health $5 98%
Georgia Assurance $5 98%
Health Net $5 98%
Healthspring $5 98%
Regency Hospice $5 98%
Shared Health $5 98%
St Joseph Hospice $5 98%
United $5 - $69 98%
Wellcare $5 - $31 98%
Health One Alliance $6 117%
Qtc Medical Group $6 117%
Ambetter / Centene $7 137%
Blue Choice $7 137%
Dept Of Community Health $8 156%
Amerigroup $22 430%
Nhc Advantage $29 566%
Pruitt Health $29 566%
Peach State $31 605%
Americas 1St Choice $43 840%
Centurion $43 840%
Medcost $77 - $98 1504%
Kaiser Permanente $84 1641%
Multiplan $92 - $138 1797%
Performax $105 2051%
First Health $115 2246%
Employer'S Health Network $123 2402%
Novanet $138 2695%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals