CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Mercyone Newton Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $283
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Mercyone Newton Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $283. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$283

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $283 (5527%)
Insurance Median: $10 (195%)
Cash: $283 (5527% of Medicare)
Ins. Median: $10 (195% 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
Aetna $5 - $61 98%
Blue Cross Blue Shield $5 98%
Iowa Total Care $5 98%
Medicaid / KanCare $5 98%
Medicare (plans) $5 98%
UnitedHealthcare $5 - $37 98%
Amish Hospital Aid $7 137%
Centivo $7 137%
Oscar $7 137%
Ambetter / Centene $9 176%
Iowa Dept Of Public Health $9 - $65 176%
Claimdoc $10 195%
Nova $10 195%
Geha $37 723%
Newton Correctional Facility $42 820%
Health Choices $49 957%
Medical Associates $49 957%
Health Partners $57 1113%
Auxiant $60 1172%
Cigna $60 1172%
Health Alliance $60 1172%
Medica $60 1172%
Midlands $60 1172%
Midlands Choice $60 1172%
1199 National Benefit Fund $61 1191%
Allied Benefit Systems $61 1191%
Asr Health Benefits $61 1191%
Christian Brother Services $61 1191%
Coventry $61 1191%
First Health $61 1191%
Lucent Health $61 1191%
Luminare Health $61 1191%
Medical Mutual $61 1191%
Meritain $61 1191%
Trustmark Small Business Benefits $61 1191%
Webtpa $61 1191%
Crime Victim Assistance $65 1270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals