CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Tristar Greenview Regional Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $585
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Tristar Greenview Regional Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $585. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.
Cash / Self-Pay
$585

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $585 (11426%)
Insurance Median: $7 (137%)
Cash: $585 (11426% of Medicare)
Ins. Median: $7 (137% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $5 98%
Blue Cross Blue Shield $5 - $183 98%
Coventry Cares $5 98%
Devoted Health $5 98%
Horizon Pace $5 98%
Humana $5 - $154 98%
Molina $5 98%
Sarah Cannon Research $5 98%
United $5 - $263 98%
Va Ccn $5 98%
Wellcare $5 - $7 98%
Prime Health $94 1836%
Signature Advantage $111 2168%
Cigna $174 3398%
Cdm Health $287 5605%
Southern Kentucky Rehab $439 8574%
Occupational Mc Alliance $468 9141%
Tim Davis And Associates $468 9141%
Up And Up $468 9141%
Fortified Provider Network $526 10273%
Multiplan $526 10273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 Ashley Circle, Bowling Green, KY 42104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals