Blood test, creatinine (kidney)
Facility: Labette Health
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $6
- Cash Discount Price: $30
- vs. Medicare Baseline: 1.17x 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% |
| Medicaid / KanCare | $5 | 98% |
| Wellcare | $5 | 98% |
| UnitedHealthcare | $5 - $62 | 98% |
| Blue Cross Blue Shield | $5 - $11 | 98% |
| Montgomery County | $5 - $24 | 98% |
| Humana | $5 | 98% |
| Ambetter / Centene | $6 | 117% |
| Uhccp | $7 | 137% |
| Multiplan | $61 | 1191% |
| Health Partners Of Kansas, Inc | $64 | 1250% |
| Choicecare (First Health Network) | $64 | 1250% |
Consumer Guidance & Cost Commentary
For Labette Health's blood creatinine test (CPT 82565), the facility's cash median price of $30.00 is significantly higher than the Medicare benchmark of $5.12, reflecting a markup common in commercial billing where negotiated rates often average 200% to 300% of the federal baseline. While the facility is a government-owned acute care hospital in Parsons, KS, and offers a negotiated rate of $6.00, patients with high-deductible plans may find the cash price more affordable if their insurance allows exceed the cash amount. It is important to note that commercial rates can vary widely by payer; for instance, UnitedHealthcare plans show a range from 5 to 62, whereas Multiplan and Health Partners of Kansas have fixed negotiated rates of $61 and $64, respectively, which are notably higher than the facility's cash price.
Before scheduling, patients should verify their specific plan's allowed amount and check for "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% by bypassing administrative claim processing costs. Although the facility is in-network for many payers, including Healthy Blue and Medicaid/KanCare, the presence of out-of-network services or balance billing risks means patients should request a full itemized bill to avoid unexpected charges. Given that over 80% of hospital bills contain errors, consumers are advised to review their statement line-by-line for unbundled codes or services not rendered rather than accepting a summary total. Additionally, while the facility's cash rate is higher than the Medicare benchmark, it remains lower than the highest negotiated rates listed for certain pay