Blood test, creatinine (kidney)
Facility: Greenwood County Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $46
- Cash Discount Price: $44
- vs. Medicare Baseline: 8.98x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 898% of the Medicare baseline (a markup of 798%). 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 | $3 - $46 | 59% |
| Blue Cross Blue Shield | $10 - $11 | 195% |
| Triwest - All Plans | $20 | 391% |
| Tricare | $23 | 449% |
| Choicecare Mcr Adv - All Plans | $23 | 449% |
| Integrated Health Plan - All Plans | $41 | 801% |
| First Health - All Other Plans | $47 | 918% |
| Beech Street - All Plans | $47 | 918% |
| First Health Ccn Network | $47 | 918% |
| Preferred Hs (Coventry) - All Plans | $50 | 977% |
| Principal Health Care Inc - All Plans | $52 | 1016% |
| Medicaid / KanCare | $55 | 1074% |
| Amerigroup Mcaid-All Plans | $55 | 1074% |
| Providrs Care/Wppa - All Plans | $82 | 1602% |
Consumer Guidance & Cost Commentary
For this blood test for creatinine at Greenwood County Hospital in Eureka, Kansas, the cash price of $44.00 is lower than the facility's negotiated rate of $46.00 and the median paid amount of $46.00. While the facility is a Critical Access Hospital with government local ownership, patients with high-deductible plans may find paying the cash price directly more affordable if their insurance negotiated rate exceeds this amount. It is important to note that commercial insurance rates often include administrative overhead, making the cash option a potential savings strategy for those who have not yet met their deductible or are seeking the lowest possible out-of-pocket cost.
The Medicare benchmark for this service is $5.12, which serves as the objective baseline for evaluating pricing markups. The facility's cash rate of $44.00 represents a significant markup over the Medicare amount, reflecting the costs of labor, supplies, and facility overhead. When reviewing your bill, ensure you receive an itemized statement rather than a summary bill to verify that no unbundled codes or services not rendered have inflated the total. If you receive a large post-insurance bill, do not pay it immediately; instead, request a formal itemized audit to identify errors or double-charges, as over 80% of hospital bills contain mistakes that can be corrected through written dispute.