Blood test, creatinine (kidney)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $5
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Smarthealth | $1 - $7 | 20% |
| UnitedHealthcare | $5 - $14 | 98% |
| Va | $5 | 98% |
| Humana | $5 | 98% |
| Blue Cross Blue Shield | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Saint Lukes Health Systems | $5 | 98% |
| Via Christi Research | $5 | 98% |
| Vc Hope | $5 | 98% |
| Corizon | $6 | 117% |
| Medicaid / KanCare | $9 | 176% |
| Aetna | $16 | 313% |
| Coventry City Of Wichita | $21 | 410% |
Consumer Guidance & Cost Commentary
For the blood test for creatinine (kidney) at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rate of $5.00 aligns closely with the Medicare benchmark of $5.12, indicating a pricing structure that is fair and consistent with federal cost standards. This facility is located in Wichita, Kansas (ZIP 67214), and serves a diverse range of payers, including Medicare, which covers 10 plans, as well as major commercial carriers like UnitedHealthcare and Aetna. Because the negotiated rate is nearly identical to the Medicare amount, patients with high-deductible plans may find that paying cash upfront could result in lower out-of-pocket costs, provided they verify the specific "self-pay" or "prompt-pay" discounts available at the time of registration.
It is important to note that while this facility is an in-network provider for many insurers, the final price a patient pays depends heavily on their individual plan's deductible status and whether the service is covered. Since the negotiated rate here is already very close to the true cost baseline set by Medicare, there is less room for administrative markups compared to facilities charging significantly higher rates. Patients should request an itemized bill to ensure no unbundled charges or services not rendered are included, and they should avoid signing any waivers that might inadvertently waive their rights to dispute balance billing, even though the No Surprises Act generally protects against surprise bills at in-network facilities.