CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Athur M Blank Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $53
Cash Discount Price: $116
vs. Medicare Baseline: 10.35x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Athur M Blank Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 10.35x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $116 (2266%)

Insurance Median: $53 (1035%)

Cash: $116 (2266% of Medicare)

Ins. Median: $53 (1035% 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 1035% of the Medicare baseline (a markup of 935%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource [61]	$7	137%
Peachstate [43]	$7	137%
Amerigroup [102]	$8	156%
Ambetter / Centene	$37 - $118	723%
Blue Cross Blue Shield	$37 - $172	723%
Cigna	$37 - $116	723%
United [5]	$37 - $117	723%
Aetna	$38 - $118	742%
Caresource Marketplace Bronze/Silver/Gold [60]	$38 - $120	742%
Kaiser [6]	$38 - $120	742%
Oscar [228]	$38 - $118	742%
Coventry [9]	$39 - $124	762%
Direct Employer Agreements [72]	$39 - $150	762%
Sidecar Health [236]	$39 - $121	762%
First Health [74]	$42 - $132	820%
Northeast Georgia Heatlh System [808]	$42 - $132	820%
Veracity Benefits [809]	$42 - $132	820%
Phcs [93]	$48 - $150	938%
Secure Health [340]	$48 - $150	938%
Beech Street [71]	$50 - $158	977%
Multiplan [92]	$55 - $172	1074%
Novanet [41]	$56 - $176	1094%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $116.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Athur M Blank Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.