CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Warner Hospital and Health Services

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $47
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 9.18x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Warner Hospital and Health Services is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.18x the Medicare baseline. Located in 422 W White St, Clinton, IL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $84 (1641%)
Insurance Median: $47 (918%)
Cash: $84 (1641% of Medicare)
Ins. Median: $47 (918% 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 918% of the Medicare baseline (a markup of 818%). 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 $4 - $117 78%
Aetna $5 - $101 98%
Health Alliance Med Adv $5 - $49 98%
Humana $5 - $101 98%
Molina Mcr/Mcd Dual $5 - $49 98%
UnitedHealthcare $5 - $101 98%
Wellcare Mcr Adv-All Plans $5 - $49 98%
Caterpillar-All Plans $9 - $101 176%
Cigna $9 - $99 176%
City Of Clinton (Employees Serv)-All Plans $9 - $96 176%
Healthlink Hmo $9 - $93 176%
Multiplan Phcs-All Plans $9 - $101 176%
Consociate Care Ppo-All Plans $10 - $107 195%
Health Alliance-All Other Plans $10 - $105 195%
Healthlink Ppo/Work Comp-All Other Plans $10 - $105 195%
Hfn Ppo/Epo-All Plans $10 - $107 195%
Three Rivers-All Plans $10 - $113 195%
Harmony Hp Mcaid-All Plans $17 332%
Medicaid / KanCare $17 332%
Meridian Hp-All Plans $17 332%
Molina-All Other Plans $17 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 422 W White St, Clinton, IL 61727
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals