CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Chatuge Regional Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $26
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 5.08x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Chatuge Regional Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.08x the Medicare baseline. Located in 110 S Main Street, Hiawassee, GA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $35 (684%)
Insurance Median: $26 (508%)
Cash: $35 (684% of Medicare)
Ins. Median: $26 (508% 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 508% of the Medicare baseline (a markup of 408%). 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.

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
Amerigroup Community Care $6 117%
Wellcare $6 117%
Caresource Network Partners, Llc. $7 137%
UnitedHealthcare $9 - $52 176%
Aetna $22 - $60 430%
Blue Cross Blue Shield $24 - $51 469%
Cigna $24 - $49 469%
Humana $24 469%
Alliant Health Plan $49 957%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 S Main Street, Hiawassee, GA 30546
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals