CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Manning Regional Healthcare Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $40
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 7.81x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Manning Regional Healthcare Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 7.81x the Medicare baseline. Located in 1550 Sixth Street, Manning, IA.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $38 (742%)
Insurance Median: $40 (781%)
Cash: $38 (742% of Medicare)
Ins. Median: $40 (781% 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 781% of the Medicare baseline (a markup of 681%). 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
UnitedHealthcare $3 - $52 59%
Medical Associates Mcr $37 723%
Medicare (plans) $37 723%
Merigold Mcr Adv-All Plans $37 723%
Tricare $37 723%
Iowa Total Care Mcaid-All Plans $40 781%
Medicaid / KanCare $40 781%
Medical Associates Comm-All Other Plans $40 781%
Preferred Health - All Plans $40 781%
Aetna $52 1016%
Midlands Choice- All Plans $52 1016%
Wellmark Hmo $55 1074%
Oscar Epo-All Plans $56 1094%
Wellmark Ppo-All Other Plans $61 1191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1550 Sixth Street, Manning, IA 51455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals