CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Bluffton Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Bluffton Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $5 (98%)
Insurance Median: $8 (156%)
Cash: $5 (98% of Medicare)
Ins. Median: $8 (156% 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
Amish Aid $1 - $67 20%
Self Pay $1 - $155 20%
Aetna $2 - $125 39%
Blue Cross Blue Shield $2 - $8 39%
Cigna $2 - $99 39%
Lutheran Preferred Network $2 - $225 39%
Lutheran Trma $2 - $126 39%
Php Management Systems $2 - $109 39%
Encore Ppo $3 - $137 59%
Sagamore Health Newtork Inc $3 - $151 59%
Sagamore Sebt $3 - $144 59%
UnitedHealthcare $3 - $139 59%
Ahg Dana Employees $4 - $183 78%
Align Networks $4 - $197 78%
Consumer Life $4 - $174 78%
Northeast Hospice $4 - $197 78%
Advantage 360 $5 - $233 98%
Caresource $5 98%
Community Health Alliance $5 - $239 98%
County Jail Health Care $5 98%
Department Of Veterans Affairs $5 98%
Encore Health Network $5 - $253 98%
First Health $5 - $242 98%
Humana $5 98%
In Dept Of Correction $5 98%
Medicaid / KanCare $5 98%
Medicare (plans) $5 98%
Mhs $5 98%
Mhs In Hip $5 98%
Multiplan $5 - $225 98%
Node Caresource Mcr Adv $5 98%
Node Devoted Health Mcr Adv $5 98%
Node Iu Health Mcr Adv $5 98%
Node Mhs Mcr Adv $5 98%
Node Non Par Hospice Agree $5 98%
Node Pphp Mcr Adv $5 98%
Node Va $5 98%
Physicians Health Plan $5 - $12 98%
Prime Health Services $5 - $211 98%
Private Healthcare Systems Inc $5 - $211 98%
Tricare $5 98%
Veterans Eval Services $5 98%
Allied Benefit Systems $6 - $253 117%
Cardinal Health Alliance $6 - $253 117%
Php $6 - $13 117%
Php Freedom Network $6 - $9 117%
Ppom $6 - $253 117%
Us Department Of Labor $6 117%
Lutheran Advanced Network $8 156%
Lutheran Three Rivers Preferred Plus 150 $8 156%
Encore Work Comp In $9 176%
Lutheran Three Rivers Preferred Plus 175 $9 176%
Lutheran Northwest Health Preferred $10 195%
Managed Health Services Exchange $10 195%
Workers Compensation $10 195%
Encore Kba Epo $12 234%
Encore Kba Ppo $15 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals