CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: University Of Kansas Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $69
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 13.48x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at University Of Kansas Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 13.48x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $20 (391%)
Insurance Median: $69 (1348%)
Cash: $20 (391% of Medicare)
Ins. Median: $69 (1348% 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 1348% of the Medicare baseline (a markup of 1248%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Larned State Hospital [503200090] $7 - $34 137%
Health Plan Inc [503999941] $11 - $55 215%
Accarent Health [503999034] $12 - $58 234%
Alt Carelon Behavioral Health [503200905] $12 - $58 234%
Alt Wppa [5032000964] $14 - $70 273%
Cerner [503200038] $14 - $70 273%
Allied National [503999937] $14 - $70 273%
Geha [503200036] $14 - $70 273%
Inter-Americas Insurance [503999032] $14 - $70 273%
Php [503200005] $14 - $86 273%
Med-Pay [503200040] $14 - $70 273%
Healthlink [503200007] $14 - $86 273%
Cigna $15 - $93 293%
Aha-Healthcare Preferred [503200050] $15 - $76 293%
First Health [5032000110] $15 - $76 293%
Coeur Plan Services [503301517] $16 - $81 313%
Blue Cross Blue Shield $16 - $89 313%
Consolidated Billing [50311256] $16 - $81 313%
Correct Care Solutions [50311253] $16 - $81 313%
Ascension Living Hope [503201517] $16 - $81 313%
Orscheln Industries [503201608] $17 - $87 332%
Quiktrip [5032000412] $18 - $93 352%
Alt Lucent Health Solutions [503202603] $18 - $89 352%
Century Health Solutions [503200054] $18 - $93 352%
Point Comfort Underwriters [503200018] $18 - $93 352%
Empire Plan/Nyship [503200705] $18 - $89 352%
Alt Lineco [5032000976] $18 - $89 352%
Wppa [503200056] $19 - $97 371%
Meritain Health [503200039] $19 - $97 371%
Plan Care America [503999026] $21 - $104 410%
Employers Health Network [503999025] $21 - $104 410%
Three Rivers Provider Network [503999029] $21 - $104 410%
Usa Managed Care [503999030] $21 - $104 410%
Sanford Health Plan [503999027] $21 - $104 410%
Workers Comp [503999901] $22 - $110 430%

Consumer Guidance & Cost Commentary

For the blood test for creatinine (kidney) at University Of Kansas Hospital, the facility's cash price of $20.00 is significantly lower than the negotiated rates paid by most insurance plans, which range from $7 to $110 depending on the carrier. While the median negotiated rate across all payers is $69.00, the cash price remains the most affordable option for patients without insurance or those with high-deductible plans. It is important to note that commercial rates often include administrative overhead and contract markups that can exceed the true cost of care; in this case, the cash price is roughly 28% of the median negotiated amount. Patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may still result in higher out-of-pocket costs than paying cash directly.

The facility's cash price of $20.00 is also notably lower than the Medicare benchmark of $5.12 when adjusted for the local wage index, though this comparison highlights that commercial rates generally carry a higher markup than the federal baseline. For consumers, the most effective way to minimize costs is to request a prompt-pay discount or self-pay rate at the time of registration, which can bypass the administrative fees associated with insurance claims processing. If you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to dispute the amount under federal protections like the No Surprises Act, and you should always demand a detailed, itemized bill rather than accepting a summary invoice. Always confirm with the hospital's billing department regarding available discounts before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals