CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Kosciusko Community Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Kosciusko Community Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $9 (176%)
Insurance Median: $7 (137%)
Cash: $9 (176% of Medicare)
Ins. Median: $7 (137% 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
Aetna $1 - $53 20%
Amish Aid $1 - $21 20%
Encore $1 - $40 20%
Lutheran Preferred Network $1 - $79 20%
Php Freedom Network $1 - $38 20%
Physicians Health Plan $1 - $46 20%
Self Pay $1 - $39 20%
Trma Inc $1 - $45 20%
UnitedHealthcare $1 - $52 20%
Blue Cross Blue Shield $2 - $8 39%
Cigna $2 - $63 39%
Connecticut General Life Insurance Company $2 - $58 39%
Advantage Health $3 - $82 59%
Department Of Veterans Affairs $3 - $5 59%
Encore Health Network $3 - $92 59%
First Health Network $3 - $74 59%
Humana $3 - $5 59%
Iu Health $3 - $5 59%
Medicare (plans) $3 - $5 59%
Mhs $3 - $5 59%
Node Devoted Health Mcr Adv $3 - $5 59%
Node Non Par Hospice Agree $3 - $5 59%
Node Va $3 - $5 59%
Prime Health Services $3 - $74 59%
Private Healthcare Systems $3 - $85 59%
Sagamore $3 - $93 59%
Tricare $3 - $5 59%
Veterans Eval Services $3 - $5 59%
In Dept Of Correction $4 - $5 78%
Node Pphp Mcr Adv $4 - $5 78%
Us Department Of Labor $4 - $6 78%
Align In Work Comp $5 - $8 98%
Caresource $5 98%
Lutheran Advanced Network $5 - $8 98%
Lutheran Preferred $5 - $10 98%
Managed Health Services $5 98%
Medicaid / KanCare $5 98%
One Call Work Comp $5 - $8 98%
Encore Work Comp In $6 - $9 117%
Managed Health Services Exchange $7 - $10 137%
Workers Comp $7 - $10 137%
Encore Kba Epo $8 - $12 156%
Encore Kba Ppo $10 - $15 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals