CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: The Women's Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at The Women's Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$100

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: $100 (1953%)
Insurance Median: $8 (156%)
Cash: $100 (1953% 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 $2 - $9 39%
Blue Cross Blue Shield $2 - $5 39%
UnitedHealthcare $3 - $151 59%
Aetna $5 - $44 98%
Alliance Coal $5 - $131 98%
Caresource $5 98%
Caresource Hip $5 98%
Caresource In $5 98%
Chamber Care $5 - $16 98%
Humana $5 98%
Iu Health $5 - $95 98%
Mdwise Hip $5 98%
Meridian Health Il $5 98%
Mhs $5 98%
Mhs Behavioral $5 98%
Molina Il $5 98%
Molina Ky $5 98%
Molina Ky Dual $5 98%
Passport Molina Ky $5 - $44 98%
Patoka Valley Health Care (80/20 Plan) $5 98%
Patoka Valley Health Care (90/10 Plan) $5 98%
Wellcare Ky $5 - $44 98%
Ambetter / Centene $6 - $8 117%
Allied National/Zelis - Freedom Plan $7 - $13 137%
Caresource Marketplace (Just4Me) $7 - $8 137%
Claimdoc $7 137%
Hst $7 - $8 137%
One Care $7 - $133 137%
Encorecombined $8 - $133 156%
Encoreprime $8 - $129 156%
Hope Trust $8 156%
Noncontracted $8 156%
Cigna $9 - $136 176%
Claritev (Formerly Phcs/Mulitplan) $9 - $131 176%
First Health/Coventry $9 - $140 176%
Healthlink $9 - $161 176%
Sagamore $9 - $136 176%
Self Pay $9 - $112 176%
Center Care $16 - $148 313%
Immergrun $71 - $79 1387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals