Blood test, creatinine (kidney)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $59
- Cash Discount Price: $20
- vs. Medicare Baseline: 11.52x 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 1152% of the Medicare baseline (a markup of 1052%). 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 |
|---|---|---|
| Meritain Health [503200039] | $22 - $70 | 430% |
| Wppa [503200056] | $22 - $49 | 430% |
| Alt Wppa [5032000964] | $22 - $49 | 430% |
| Alt Carelon Behavioral Health [503200905] | $26 - $58 | 508% |
| Aha-Healthcare Preferred [503200050] | $32 - $70 | 625% |
| Allied National [503999937] | $32 - $70 | 625% |
| Alt Meritain Health [503999911] | $32 - $70 | 625% |
| National Assn Letter Carriers [503200019] | $32 - $70 | 625% |
| Cigna | $32 - $93 | 625% |
| Aetna | $32 - $70 | 625% |
| First Health [5032000110] | $32 - $70 | 625% |
| Php [503200005] | $32 - $70 | 625% |
| Correct Care Solutions [50311253] | $37 - $81 | 723% |
| Workers Comp [503999901] | $45 - $99 | 879% |
| Usa Managed Care [503999030] | $48 - $104 | 938% |
Consumer Guidance & Cost Commentary
For the blood test for creatinine (kidney) at the University of KS Health System Great Bend Campus, the facility's cash price of $20.00 is significantly lower than the negotiated rates paid by commercial insurers, which range from $22 to $104 depending on the payer. While the facility's negotiated average of $59.00 is higher than the cash price, it remains below the state average of $99.00 and the county average of $11.50 when compared to the Medicare benchmark. Patients with high-deductible plans may find it financially advantageous to pay the $20.00 cash price directly, as this avoids the administrative overhead and higher negotiated rates that insurance carriers often charge. It is important to note that the facility's cash rate is also lower than its own median paid amount of $34.00, suggesting that self-pay offers the most direct cost savings for this service.
To minimize out-of-pocket expenses, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling the test, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you choose to use insurance, be aware that the facility is a government-owned hospital district, and while the No Surprises Act protects you from balance billing for out-of-network services at this in-network facility, you must still verify your deductible status before proceeding. Always request a full itemized bill containing specific CPT codes rather than accepting a summary invoice, as this allows you to identify any errors or unbundled charges. Finally, remember that the facility's rating of 4 out of 5 reflects its standing