Blood test, creatinine (kidney)
Facility: Cheyenne County Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $16
- Cash Discount Price: $20
- vs. Medicare Baseline: 3.13x 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 313% of the Medicare baseline (a markup of 213%). 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 |
|---|---|---|
| UnitedHealthcare | $1 - $24 | 20% |
| Blue Cross Blue Shield | $11 | 215% |
| First Health - All Plans | $11 - $17 | 215% |
| Healthy Blue Mcr Adv | $12 - $18 | 234% |
| Choice Care - All Plans | $12 - $18 | 234% |
| Tricare | $12 - $18 | 234% |
| Aetna | $12 - $23 | 234% |
| Firstguard - All Plans | $13 - $20 | 254% |
| Wppa - All Plans | $15 - $22 | 293% |
| Integrated Hp - All Plans | $16 - $24 | 313% |
| Unicare - All Plans | $16 - $24 | 313% |
| Health Partners - All Plans | $16 - $24 | 313% |
| Ppo Next - All Plans | $16 - $24 | 313% |
| Midlands Choice - All Plans | $16 - $24 | 313% |
| Cpm - All Plans | $16 - $23 | 313% |
| Healthy Blue Mcaid - All Other Plans | $16 - $24 | 313% |
| Healthwave Mcaid - All Plans | $16 - $24 | 313% |
| Preferred Hc - All Plans | $16 - $23 | 313% |
| Childrens Mercy - All Plans | $16 - $24 | 313% |
| Providers Care-All Plans | $24 - $37 | 469% |
Consumer Guidance & Cost Commentary
For the blood test for creatinine at Cheyenne County Hospital, the cash price is $20.00, which matches the facility's negotiated rate for in-network payers. This cash price is significantly lower than the Medicare benchmark of $5.12, indicating that the facility's standard billing structure includes a substantial markup over federal reimbursement rates. While the facility is a Critical Access Hospital in St. Francis, KS, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. If you have a high-deductible plan, paying the $20.00 cash price upfront may result in lower out-of-pocket costs compared to your insurance paying a negotiated rate that you then owe in full after your deductible is met.
To minimize costs, we recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full before or shortly after the service. Additionally, because over 80% of hospital bills contain errors, it is advisable to request a detailed, itemized statement rather than accepting a summary bill. If you receive a balance bill from an out-of-network provider, even at this in-network facility, you may be entitled to protections under the No Surprises Act. Always verify your specific plan's deductible status and allowed amounts before scheduling to ensure you are not paying higher negotiated rates unnecessarily.