CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Boone County Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Boone County Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $30 (586%)
Insurance Median: $7 (137%)
Cash: $30 (586% of Medicare)
Ins. Median: $7 (137% 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 $3 - $28 59%
Amerigroup Mcr Adv - All Other Plans $3 59%
Choice Care Mcr Adv - All Plans $3 59%
Humana $3 - $27 59%
Iowa Hlth Adv - All Plans $3 59%
Mt Carmel Hp - All Plans $3 - $27 59%
Va Ccn-All Plans $3 59%
Iowa Total Care Mcaid - All Plans $4 - $30 78%
Medicaid / KanCare $4 78%
Meridian Mcaid - All Plans $4 78%
Tricare $5 98%
Healthsmart Ppo - All Other Plans $6 117%
Medical Associates Hp-All Plans $6 117%
Health Alliance-All Plans $7 - $59 137%
Midlands Choice-All Plans $7 137%
Mutually Preferred-All Plans $8 156%
Wellmark Hmo $23 449%
Wellmark Ppo - All Other Plans $25 488%
UnitedHealthcare $27 - $39 527%
Healthsmart Accell Network $46 898%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals