CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Kossuth Regional Health Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $46
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 8.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Kossuth Regional Health Center is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 8.98x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $49 (957%)
Insurance Median: $46 (898%)
Cash: $49 (957% of Medicare)
Ins. Median: $46 (898% 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 898% of the Medicare baseline (a markup of 798%). 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
Blue Cross Blue Shield $6 - $7 117%
Humana $23 449%
Mercy One - All Plans $23 449%
Va Ccn - All Plans $23 449%
Amerigroup Mcr Adv - All Other Plans $24 469%
UnitedHealthcare $24 - $46 469%
Health Partners New Bus - All Other Plans $43 840%
Midlands Choice - All Plans $43 840%
Medical Associates - All Plans $52 1016%
Preferred Health - All Plans $52 1016%
Aetna $57 - $59 1113%
Multiplan - All Plans $58 1133%
Health Partners Exisiting Bus $59 1152%
Amerigroup Mcaid $63 1230%
Molina Mcaid/Chip - All Plans $63 1230%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals