Blood test, creatinine (kidney)
Facility: University Of Kansas Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $69
- Cash Discount Price: $20
- vs. Medicare Baseline: 13.48x 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.
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.
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.