Blood test, creatinine (kidney)
Facility: Via Christi Hospital Wichita St Teresa, 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% |
| Vc Hope | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Via Christi Research | $5 | 98% |
| Saint Lukes Health Systems | $5 | 98% |
| Va | $5 | 98% |
| Humana | $5 | 98% |
| Blue Cross Blue Shield | $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 at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates for in-network payers average $5.00, which aligns closely with the Medicare benchmark of $5.12. This facility, a voluntary non-profit church-owned acute care hospital in Wichita, KS, does not list a specific cash median or negotiated median in the current data, but patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans. Because insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40%, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the costly claims processing cycle.
Patients should also be cautious regarding balance billing and summary bills, as hospitals may initially issue broad category totals that obscure individual code costs. If you receive a bill that appears higher than the $5.00 negotiated rate, request a full itemized CPT-coded statement to identify any errors, double-billing, or unbundled charges, as over 80% of hospital bills contain such discrepancies. Furthermore, under federal protections like the No Surprises Act, you are generally shielded from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed with the insurer rather than paid immediately to avoid credit damage. Always verify your deductible status before using insurance for shoppable tests to ensure you are not paying the full negotiated rate out of pocket.