Blood test, creatinine (kidney)
Facility: Kearny County Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $60
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 11.72x 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 1172% of the Medicare baseline (a markup of 1072%). 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 |
|---|---|---|
| Humana | $60 | 1172% |
| Aetna | $60 | 1172% |
| Wps Gha - Mac J5 Part A | $60 | 1172% |
| UnitedHealthcare | $60 | 1172% |
| Blue Cross Blue Shield | $60 | 1172% |
| Community Care Health Plan Of | $60 | 1172% |
Consumer Guidance & Cost Commentary
For this blood test for creatinine at Kearny County Hospital in Lakin, KS, the negotiated rate is $60.00, which matches the facility's cash price and the median negotiated rate across all six payers listed. While the facility is a Critical Access Hospital owned by the local government, the data does not provide specific cash or median paid figures to compare directly against state or county averages. However, it is important to note that cash-pay options can sometimes be more affordable for patients with high-deductible plans if their insurance negotiated rate exceeds the cash price, though in this specific case, the rates are identical. Patients are encouraged to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can bypass costly administrative fees and reduce overall costs.
The Medicare benchmark for this service is $5.12, indicating that the commercial negotiated rate of $60.00 represents a significant markup compared to the federal baseline. This disparity highlights the difference between the true cost of care and the rates charged to commercial insurance members. If a patient receives this service out-of-network, they could face balance billing for the difference between the provider's full chargemaster rate and the amount their insurer allows, though the No Surprises Act protects patients from such surprise bills for emergency care and non-emergency services at in-network facilities. To ensure accuracy, patients should request a full itemized bill to review specific CPT codes and avoid paying for services that were never rendered or that were incorrectly bundled, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.