Blood test, creatinine (kidney)
Facility: Kingman Healthcare Center
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 |
|---|---|---|
| Triwest | $5 | 98% |
| Medicaid / KanCare | $5 | 98% |
| Healthy Blue | $5 | 98% |
Consumer Guidance & Cost Commentary
For the CPT code 82565, representing a blood test for creatinine at Kingman Healthcare Center in Kansas, the facility's negotiated rate is $5.00, which matches the Medicare benchmark of $5.12 exactly. This indicates that the facility is charging at the federal government's cost-based standard rather than applying a commercial markup. While cash payments are not listed in this dataset, patients with high-deductible plans should note that paying out-of-pocket can sometimes be cheaper than insurance claims if the negotiated rate exceeds the cash price. Given that this is a Critical Access Hospital, patients are encouraged to verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can significantly reduce the final cost by bypassing administrative processing fees.
It is important to understand that the $5.00 negotiated rate represents a contractual ceiling set by insurance carriers like Triwest, Medicaid/KanCare, and Healthy Blue, which prevents the facility from billing the full chargemaster list price. However, patients should be aware of the risks of balance billing if they receive care from out-of-network providers or ancillary services, even at an in-network facility, where the difference between the provider's full rate and the insurance allowed amount could result in unexpected charges. To avoid these surprises, consumers should request a full itemized bill before paying and dispute any errors in writing, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes that can be corrected through a formal audit.