CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $82
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 16.02x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Morris Hospital & Healthcare Centers is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 16.02x the Medicare baseline. Located in 150 W High St, Morris, IL.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $36 (703%)
Insurance Median: $82 (1602%)
Cash: $36 (703% of Medicare)
Ins. Median: $82 (1602% 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 1602% of the Medicare baseline (a markup of 1502%). 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 - $92 98%
Choicecare Hum Mcr Ppo $5 98%
Health Alliance Mcr Adv $5 98%
UnitedHealthcare $5 - $116 98%
Blue Cross Blue Shield $65 - $72 1270%
Cigna $66 - $112 1289%
Caterpillar - All Plans $68 1328%
Capp Care Ppo-Oth $72 1406%
Ambetter / Centene $105 2051%
Choicecare Hum Othr - All Other Plans $120 2344%
Multiplan - All Other Plans $120 2344%
Multiplan Prime Ntwrk $120 2344%
Health Alliance - All Other Plans $128 2500%
Hfn All Plans - All Plans $128 2500%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 W High St, Morris, IL 60450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals