CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Perry County Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $19
Cash Discount Price: $52
vs. Medicare Baseline: 3.71x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Perry County Memorial Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.71x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $52 (1016%)

Insurance Median: $19 (371%)

Cash: $52 (1016% of Medicare)

Ins. Median: $19 (371% 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 371% of the Medicare baseline (a markup of 271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bc 130	$2 - $59	39%
Group Insurance	$2 - $74	39%
Nsa	$2 - $46	39%
Medicaid / KanCare	$5 - $74	98%
Medicare (plans)	$5 - $19	98%
Veterans Administration	$5 - $74	98%
Workers Compensation	$37	723%
Guarantor Liable	$52 - $74	1016%
Pcmh Insurnace	$58 - $74	1133%
Secondary Insurance	$59	1152%
UnitedHealthcare	$59	1152%
Operating Engineers	$63	1230%
Boilermakers Healthcare	$64	1250%
Cigna	$64	1250%
Great West	$64 - $74	1250%
Sagxxxx	$64	1250%
Champus	$74	1445%
Ngs American, Inc	$74	1445%
Patoka Valley	$74	1445%
Southwire	$74	1445%
Tricare	$74	1445%
Wausau Benefits	$74	1445%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $52.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Perry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.