CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Franciscan Health Indianapolis

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Franciscan Health Indianapolis is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 8111 S Emerson Ave, Indianapolis, IN.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $19 (371%)
Insurance Median: $9 (176%)
Cash: $19 (371% of Medicare)
Ins. Median: $9 (176% 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
Blue Cross Blue Shield $4 - $5 78%
Mdwise [1175] $5 98%
Medicaid / KanCare $5 - $6 98%
Medicare (plans) $5 - $6 98%
Unicare [1150] $5 98%
Managed Health Services [1302] $6 117%
Managed Care [2000] $8 - $82 156%
Aetna $9 - $57 176%
Commercial [2001] $9 - $82 176%
United Medical Resources [1158] $9 176%
United Medical Resources [1301] $9 176%
UnitedHealthcare $9 176%
Workers Comp [1172] $10 195%
Cigna $52 1016%
Great West Insurance [1055] $53 1035%
Humana $57 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8111 S Emerson Ave, Indianapolis, IN 46237
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals