Blood test, creatinine (kidney)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
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 |
|---|---|---|
| Smarthealth | $1 - $7 | 20% |
| Vc Hope | $5 | 98% |
| Va | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Blue Cross Blue Shield | $5 | 98% |
| Humana | $5 | 98% |
| UnitedHealthcare | $5 - $14 | 98% |
| Cigna | $8 | 156% |
| Medicaid / KanCare | $9 | 176% |
| Aetna | $16 - $18 | 313% |
| Coventry City Of Wichita | $21 | 410% |
Consumer Guidance & Cost Commentary
For the blood test, creatinine (kidney) service at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rate of $5.00 aligns closely with the Medicare benchmark of $5.12, indicating pricing that is consistent with federal cost baselines rather than inflated chargemaster lists. While the facility does not publish a specific cash median, patients with high-deductible plans should consider that paying cash upfront could potentially result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price. It is important to verify the facility's "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can bypass administrative fees and reduce the final bill significantly.
This service is covered by 11 different payers, including Medicare, which sets the objective baseline for fair pricing in this region. Although the data does not provide specific state or county average comparisons for this code, the facility's rate remains within the typical range of 120% to 150% of the Medicare amount, which represents a fair pricing standard. Patients should be aware that while in-network insurance contracts cap charges, they often include administrative overhead that can inflate the baseline price; therefore, checking your deductible status and requesting an itemized bill before payment is essential to avoid balance billing or unexpected fees.