CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Northern Louisiana Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $165
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 32.23x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Northern Louisiana Medical Center is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 32.23x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $129 (2520%)
Insurance Median: $165 (3223%)
Cash: $129 (2520% of Medicare)
Ins. Median: $165 (3223% 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 3223% of the Medicare baseline (a markup of 3123%). 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
Champus $4 78%
Champva $4 78%
Golden Rule Ins $4 - $141 78%
Tricare $4 - $5 78%
UnitedHealthcare $4 - $141 78%
Aetna $5 - $141 98%
Blue Cross Blue Shield $5 - $34 98%
Gulf South Services $5 98%
Humana $5 - $37 98%
Medicaid / KanCare $5 - $235 98%
Medicare (plans) $5 98%
Mutual Of Omaha $5 98%
Va $5 98%
Vantage Advantage $5 98%
Veterans Evaluation Svcs $5 98%
Vantage Health Plan $10 195%
Vantage Health Plan Ppaca $10 195%
First Health $11 - $200 215%
Verity Healthnet $115 2246%
Cigna $118 2305%
Kaiser Permanente $118 2305%
Gilsbar $129 2520%
Self Pay $129 2520%
Geha $188 - $223 3672%
Multiplan $200 3906%
Phcs $200 3906%
Work Comp City Of Ruston $212 4141%
Work Comp First Health $212 4141%
Work Comp Nlmc Emp $212 4141%
Workers Compensation $212 4141%
Aarp $235 4590%
Aflc American Family Life $235 4590%
American Life Accident $235 4590%
Apwu Health Plan $235 4590%
Bankers Life And Casualty $235 4590%
Benefit Trust Life $235 4590%
Crime Victims Compensatio $235 4590%
Equitable $235 4590%
Fox Everett Inc $235 4590%
Gmp Employers Retiree Tru $235 4590%
Gsu Athletics $235 4590%
Guarantee Trust Life Ins $235 4590%
Healthfirst Tpa $235 4590%
Hospice Of Caring Hearts $235 4590%
Ima Insurance $235 4590%
Industrial Accounts $235 4590%
Liberty Healthshare $235 4590%
Liberty Mutual Group $235 4590%
Lifecare Specialty Hosp $235 4590%
Lin Parish Detention $235 4590%
Lincoln Kidney Center $235 4590%
Ltu Athletics $235 4590%
Ltu Student Ins Bollinger $235 4590%
Mcr American Hlth Adv $235 4590%
Misc Commercial $235 4590%
Mva Insurance Payors $235 4590%
Nalc Health Benefit Plan $235 4590%
Nalc Natl Assoc Ltr Carri $235 4590%
Newera $235 4590%
Nlmc Community Services $235 4590%
Physicians Mutual Ins $235 4590%
Premier Hospice $235 4590%
Principal Mutual Life Ins $235 4590%
Protective Life Ins $235 4590%
Ruston Regional Specialty $235 4590%
Specialty Hosp Of Winnfie $235 4590%
State Farm Insurance $235 4590%
State Mutual Ins $235 4590%
Sterling Investors Life $235 4590%
The Hartford $235 4590%
Union Bankers Insurance C $235 4590%
Union Fidelity Life Ins $235 4590%
United American $235 4590%
United Teachers Ins $235 4590%
Us Dept Of Labor $235 4590%
Washington National Ins $235 4590%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals