CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Frankfort Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $79
  • Cash Discount Price: $458
  • vs. Medicare Baseline: 15.43x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Frankfort Regional Medical Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $458. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 15.43x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.
Cash / Self-Pay
$458

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $458 (8945%)
Insurance Median: $79 (1543%)
Cash: $458 (8945% of Medicare)
Ins. Median: $79 (1543% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1543% of the Medicare baseline (a markup of 1443%). 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.

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
Blue Cross Blue Shield $4 - $5 78%
Aetna $5 98%
Coventry Cares $5 98%
Devoted Health $5 98%
Horizon Pace $5 98%
Humana $5 - $137 98%
Molina $5 98%
United $5 - $223 98%
United Behavioral Health $5 98%
United Va $5 98%
Wellcare $5 - $6 98%
Corvel $29 - $79 566%
Prime Health $29 - $79 566%
Signature Advantage $34 - $94 664%
Cigna $53 - $146 1035%
Essence Healthcare $81 - $223 1582%
Baptist Health Network $98 - $267 1914%
Hospice Of Central Kentucky $114 - $312 2227%
Occupational Mc Alliance $145 - $396 2832%
Multiplan $172 - $470 3359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 299 Kings Daughters Drive, Frankfort, KY 40601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals