Blood test, creatinine (kidney)
Facility: Goodland Regional Medical Center
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $46
- Cash Discount Price: $46
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $11 | 215% |
| Wppa | $43 - $46 | 840% |
| UnitedHealthcare | $46 | 898% |
Consumer Guidance & Cost Commentary
For the blood test for creatinine (kidney) at Goodland Regional Medical Center, the facility's cash median price of $46.00 is notably lower than the gross charge of $51.00. While the facility is a Critical Access Hospital in Goodland, KS, with government-local ownership, the data indicates that the negotiated rates for in-network payers such as Blue Cross Blue Shield, WPPA, and UnitedHealthcare range between $43.00 and $46.00. This suggests that for patients with high-deductible plans, paying the cash price of $46.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract dynamics.
To ensure you are getting the best possible rate, it is important to verify your specific plan's allowed amount before scheduling, as in-network rates can vary significantly between providers. If you choose to pay out-of-pocket, ask the billing department about "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled within 30 days. Additionally, since the facility is a Critical Access Hospital, you may be protected from balance billing for out-of-network services under the No Surprises Act, but you should still request an itemized bill to review every charge and avoid paying for services that were not rendered or codes that were incorrectly unbundled.