Blood test, creatinine (kidney)
Facility: Centura St. Catherine-Dodge City
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $108
- Cash Discount Price: $65
- vs. Medicare Baseline: 21.09x 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 2109% of the Medicare baseline (a markup of 2009%). 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 |
|---|---|---|
| Medicare (plans) | $5 | 98% |
| Kansas Health | $5 | 98% |
| Aetna | $5 - $131 | 98% |
| Humana | $5 | 98% |
| Kaiser | $5 | 98% |
| Blue Cross Blue Shield | $5 - $13 | 98% |
| Cigna | $5 | 98% |
| Centura Employee Plan | $6 | 117% |
| UnitedHealthcare | $108 | 2109% |
| Wpaa | $115 | 2246% |
| Multiplan | $131 - $147 | 2559% |
| Christian Health Aid | $131 | 2559% |
| Health Partners Of Kansas | $147 | 2871% |
Consumer Guidance & Cost Commentary
For the blood test, creatinine (kidney) procedure at Centura St. Catherine-Dodge City, the facility's cash median price is $65.00, which is significantly lower than the state average of $108.00. While many commercial payers negotiate rates that average $108.00, patients with high-deductible plans may find the cash price more affordable if their insurance allows a higher negotiated rate than the cash price. It is important to note that while the facility is a Proprietary Acute Care Hospital in Dodge City, KS, and has a facility rating of 3, patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
Patients should be aware that commercial negotiated rates often include administrative costs and contract premiums that can inflate the price beyond the true cost of care, which is better reflected by the Medicare benchmark of $5.12. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is still advisable to request a prompt-pay discount if paying out-of-pocket, as hospitals typically offer 20% to 50% reductions for upfront payment. If you receive a bill, always demand a full itemized CPT-coded statement rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered that can be disputed to reduce your debt.