CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Abbeville General Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Abbeville General Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$18

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: $18 (352%)
Insurance Median: $7 (137%)
Cash: $18 (352% 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
Blue Cross Blue Shield $3 - $23 59%
Cigna $3 - $31 59%
Self Pay $4 - $32 78%
Aetna $5 - $44 98%
American Lifecare (Phcs) $5 - $50 98%
Gilsbar Ppo $5 - $49 98%
Healthy Blue $5 98%
Humana $5 - $47 98%
Magellan Behavioral Health $5 98%
Medicare (plans) $5 98%
People'S Health $5 98%
Ppo Plus $5 - $47 98%
Sierra Health And Life Insurance $5 98%
Sterling Life Insurance Company $5 98%
Triwest Healthcare Alliance $5 98%
United Behavioral Health Inc $5 - $47 98%
UnitedHealthcare $5 - $50 98%
Verity Healthnet National $5 - $47 98%
Coventry Company $6 - $54 117%
Galaxy Health Network $6 - $54 117%
Guardian Resources $6 - $50 117%
Health Payors Organization $6 - $57 117%
Usa Managed Care $6 - $54 117%
Miscellaneous Insurance $7 - $63 137%
Ppo Plus Professional $7 - $9 137%
Wellcare Of Louisiana $7 - $63 137%
Vantage Health Plan $11 - $113 215%
Office Of Group Benefits $14 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals