CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Hancock Regional Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $64
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 12.50x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Hancock Regional Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 12.50x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$64

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $64 (1250%)
Insurance Median: $64 (1250%)
Cash: $64 (1250% of Medicare)
Ins. Median: $64 (1250% 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 1250% of the Medicare baseline (a markup of 1150%). 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
Allwell Mcr Adv - All Plans $5 98%
Beech Street Mcr Adv $5 98%
Blue Cross Blue Shield $5 - $60 98%
Caresource Mcr Adv $5 98%
Communicare Mcr Adv - All Plans $5 98%
Humana $5 - $76 98%
Iu Health Mcr Adv $5 98%
Mhs/Mdwise Mcaid-All Plans $5 98%
Triwest - All Plans $5 98%
UnitedHealthcare $5 - $62 98%
Va Ccn - All Plans $5 98%
Ambetter / Centene $10 195%
Caresource Comm - All Other Plans $13 254%
Iu Health-All Other Plans $14 273%
Ascension - All Plans $60 1172%
Aetna $61 - $80 1191%
Cigna $64 1250%
Encore Encircle $64 1250%
Hancock Phys Network-All Plans $64 1250%
Unified Group Services- All Plans $64 1250%
Advantage Self Funded Ppo-All Other Plans $66 1289%
Healthmark/Healthchoice-All Plans $66 1289%
Sagamore-All Plans $66 1289%
Encore-All Other Plans $68 1328%
Consumers Life-All Plans $70 1367%
St Vincent Cmo-All Plans $70 1367%
Siho-All Plans $72 1406%
Cofinity/Ppom - All Plans $74 1445%
Great West-All Plans $74 1445%
Savility - All Plans $74 1445%
First Health/Coventry-All Plans $75 1465%
Mail Handlers-All Plans $75 1465%
Golden Rule Ins-All Plans $76 1484%
Indiana Health Network-All Plans $76 1484%
Phcs-All Plans $76 1484%
Beech Street Ppo - All Other Plans $77 1504%
Comm Hlth Alliance - All Plans $78 1523%
Multiplan-All Plans $78 1523%
Advantage Preferred Plus $80 1563%
Healthy Indiana Plan-All Plans $80 1563%
Copps - All Plans $165 3223%
Pro Health - All Plans $240 4688%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals