CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Lutheran Hospital of Indiana

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Lutheran Hospital of Indiana is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $4 (78%)
Insurance Median: $6 (117%)
Cash: $4 (78% of Medicare)
Ins. Median: $6 (117% 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
Advantage Health Solutions $1 - $61 20%
Allied Benefit Systems $1 - $66 20%
Amish Aid $1 - $22 20%
Encore Health Network $1 - $66 20%
Evolutions $1 - $66 20%
Ky Work Comp $1 - $18 20%
Lutheran Preferred Network $1 - $44 20%
Multiplan $1 - $61 20%
Prime Health Services $1 - $55 20%
Self Pay $1 - $26 20%
Tricare $1 - $5 20%
UnitedHealthcare $1 - $36 20%
Aetna $2 - $35 39%
Align Network $2 - $8 39%
Blue Cross Blue Shield $2 - $27 39%
Cigna $2 - $26 39%
Department Of Veterans Affairs $2 - $5 39%
Encore Ppo $2 - $36 39%
Humana $2 - $5 39%
In Dept Of Correction $2 - $5 39%
Iu Health Plan $2 - $5 39%
Lutheran Advanced Network $2 - $8 39%
Lutheran Network $2 - $36 39%
Lutheran Preferred $2 - $29 39%
Managed Health Services $2 - $10 39%
Medicare (plans) $2 - $5 39%
Node Devoted Health Mcr Adv $2 - $5 39%
Node Hospice Non Par Agree $2 - $5 39%
Node Lutheran Network $2 - $9 39%
Node Lutheran Preferred Fixed 2 $2 - $8 39%
Node Pphp Mcr Adv $2 - $5 39%
Node Va $2 - $5 39%
Php Freedom Network $2 - $10 39%
Physicians Health Plan Of Northern Indiana $2 - $29 39%
Sagamore $2 - $39 39%
Us Department Of Labor $2 - $6 39%
Veterans Eval Services $2 - $5 39%
Encore Work Comp In $3 - $9 59%
Node Encore Kba Epo $4 - $12 78%
Care Source $5 98%
Medicaid / KanCare $5 98%
Node Encore Kba Ppo $5 - $15 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals