Blood test, creatinine (kidney)
Facility: Saint John Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $5
- Cash Discount Price: $5
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthy Blue | $5 | 98% |
| Tricare | $5 | 98% |
| Medicaid / KanCare | $5 | 98% |
| Cigna | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Kansas Superior Select | $5 | 98% |
| Aetna | $5 - $9 | 98% |
| UnitedHealthcare | $5 - $7 | 98% |
| Celtic | $5 - $19 | 98% |
| Midland Care Connection | $5 | 98% |
| Blue Cross Blue Shield | $5 - $11 | 98% |
| Corizon | $7 | 137% |
| Employer Direct Healthcare | $7 | 137% |
| Well Path | $7 | 137% |
| Centurion | $8 | 156% |
| Naphcare | $8 | 156% |
| Oha Networks | $11 | 215% |
| Comp Alliance Workers Comp | $11 | 215% |
| Worker Compensation | $12 | 234% |
Consumer Guidance & Cost Commentary
For the blood test for creatinine (kidney) at Saint John Hospital in Leavenworth, KS, the facility's cash median price is $5.00, which is significantly lower than the state average of $28.00. While commercial insurance plans like Healthy Blue, Tricare, and Cigna negotiate rates that often exceed this cash price due to administrative costs and contract structures, patients with high-deductible plans may find paying out-of-pocket cheaper if the insurer's allowed amount is higher than the cash rate. It is important to verify the specific negotiated rate for your plan before scheduling, as in-network rates vary widely even within the same facility. Additionally, patients should check with the hospital for "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing the standard insurance billing cycle.
The facility's negotiated rates for this service align closely with the state average, with a median negotiated rate of $5.00 and a Medicare benchmark of $5.12, indicating that the pricing is already near the federal cost baseline. Unlike many commercial rates that average 200% to 300% of Medicare, this service reflects a fair price relative to the government standard. If you receive a bill that appears higher than these figures, it is advisable to request an itemized billing audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain discrepancies. Furthermore, if you are concerned about balance billing, remember that the No Surprises Act protects you from being charged the difference between the facility's chargemaster and your insurance allowed amount for emergency care or non-emergency services at in-network facilities