CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: University of Iowa Hospital & Clinics

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $36
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 7.03x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at University of Iowa Hospital & Clinics is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 7.03x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $48 (938%)
Insurance Median: $36 (703%)
Cash: $48 (938% of Medicare)
Ins. Median: $36 (703% 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 703% of the Medicare baseline (a markup of 603%). 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
Aetna $5 - $55 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $35 98%
Healthpartners $5 - $61 98%
Iowa Total Care $5 98%
Medical Associates $5 - $36 98%
Molina Healthcare $5 98%
UnitedHealthcare $5 - $34 98%
Wellpoint (Amerigroup) $5 98%
Immergrun $10 - $18 195%
Quad City Community Healthcare $11 - $54 215%
Aplos Health Plan $12 - $58 234%
Oscar Health $25 - $45 488%
Great River Health Systems $27 - $50 527%
Sedgwick $31 - $58 605%
Global Excel $33 - $61 645%
Sanford Health Plan $33 - $61 645%
Employee Benefit Systems $34 - $65 664%
Midlands Choice $34 - $47 664%
Sisco $34 - $63 664%
Healthsmart $35 - $65 684%
Hfn $36 - $66 703%
Multiplan $36 - $66 703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawkins Drive, Iowa City, IA 52242
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals