CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: University of Louisville Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $18
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 3.52x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at University of Louisville Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.52x the Medicare baseline. Located in 530 South Jackson Street, Louisville, KY.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $9 (176%)
Insurance Median: $18 (352%)
Cash: $9 (176% of Medicare)
Ins. Median: $18 (352% 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 352% of the Medicare baseline (a markup of 252%). 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 - $41 78%
Aetna $5 - $7 98%
Communicare $5 98%
Devoted $5 - $12 98%
Essence Health $5 98%
Humana $5 - $7 98%
Passport $5 - $20 98%
Senior Care Community Of Ky $5 98%
Signature $5 - $20 98%
UnitedHealthcare $5 - $20 98%
Va Ccn $5 98%
Velocity $6 - $40 117%
Wellcare $6 - $7 117%
Key Benefit Administrators $7 137%
Cigna $8 156%
Prime Group Health $10 - $35 195%
Cshn $23 - $41 449%
Multiplan $23 - $37 449%
Encore $24 - $29 469%
Health Smart $26 - $31 508%
Omca $33 - $39 645%
Corvel $35 - $41 684%
National Comp Care $35 - $41 684%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 530 South Jackson Street, Louisville, KY 40202
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals