CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Avoyelles Hospital
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $97
- Cash Discount Price: $48
- vs. Medicare Baseline: 18.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Avoyelles Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 18.95x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$48
Average discount available for prompt cash payment at this facility.
Insurance Median
$97
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: $48 (938%)
Insurance Median: $97 (1895%)
Cash: $48 (938% of Medicare)
Ins. Median: $97 (1895% 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 1895% of the Medicare baseline (a markup of 1795%). 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.
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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 - $90 | 98% |
| Bankers Life | $5 | 98% |
| Champva | $5 | 98% |
| Cigna | $5 - $91 | 98% |
| Correct Cr Int Hlt | $5 - $33 | 98% |
| Humana | $5 - $91 | 98% |
| Mcd Amerihealth Caritas | $5 - $33 | 98% |
| Mcd Healthy Blue | $5 - $33 | 98% |
| Mcd La Hc Conn | $5 - $33 | 98% |
| Mcr Lagniappe | $5 | 98% |
| Medeico Ins Co | $5 | 98% |
| Medicaid / KanCare | $5 - $33 | 98% |
| Medicare (plans) | $5 | 98% |
| Mmc Allwell | $5 | 98% |
| Mmc Blue Advantage | $5 | 98% |
| Mmc Healthy Blue Dual Adv | $5 | 98% |
| Mmc Mcr Hmo Miscellaneous | $5 | 98% |
| Mmc Priority Hlth Pffs | $5 | 98% |
| Mmc Vantage Hlth | $5 | 98% |
| Mmc Wellcare | $5 | 98% |
| Mutual Of Omaha | $5 | 98% |
| Neba Inc | $5 | 98% |
| Philadelphia American Lif | $5 | 98% |
| Sentinel Security Life | $5 | 98% |
| Trustmark Health Benefits | $5 - $161 | 98% |
| Tunica Biloxi | $5 - $161 | 98% |
| United Amer Ins | $5 | 98% |
| UnitedHealthcare | $5 - $33 | 98% |
| Veterans Evaluation Serv | $5 | 98% |
| Wps Vacca | $5 | 98% |
| All Savers | $6 | 117% |
| Geha | $6 | 117% |
| Mcd Ms | $6 - $37 | 117% |
| United Hlth One | $6 | 117% |
| Gulf South Zelis | $7 | 137% |
| Amer Contl Ins | $8 - $90 | 156% |
| Blue Cross Blue Shield | $8 | 156% |
| Coventry | $8 - $90 | 156% |
| First Choice Health | $8 - $90 | 156% |
| Meritan Health | $8 - $161 | 156% |
| Ofc Of Grp Bene | $8 | 156% |
| Student Assurances | $48 - $161 | 938% |
| Ppo Plus Llc | $97 | 1895% |
| Zelis Healthcare Bpa | $97 | 1895% |
| Gilsbar | $101 | 1973% |
| Amerind | $145 | 2832% |
| Applied Underwriters | $145 | 2832% |
| Sedgwick | $145 | 2832% |
| Us Dept Of Labor | $145 | 2832% |
| Wc Clms Admin Svcs | $145 | 2832% |
| Wc Clms Mgmnt Walmart | $145 | 2832% |
| Wc Esis | $145 | 2832% |
| Wc Fara | $145 | 2832% |
| Wc Gallagher Bassett | $145 | 2832% |
| Wc Guide One | $145 | 2832% |
| Wc Hartford Med | $145 | 2832% |
| Wc Luba | $145 | 2832% |
| Wc Lwcc | $145 | 2832% |
| Wc Paragon Casino Resort | $145 | 2832% |
| Wc Risk Mgmnt | $145 | 2832% |
| Wc Stone Trust | $145 | 2832% |
| Wc Summit Consulting Hold | $145 | 2832% |
| Wc Travelers Ins | $145 | 2832% |
| Wc Trs Workers Comp Claim | $145 | 2832% |
| Wc Us Dol | $145 | 2832% |
| Wc Zurich | $145 | 2832% |
| Aarp | $161 | 3145% |
| Admin Concepts | $161 | 3145% |
| All Saints Hospice | $161 | 3145% |
| All State | $161 | 3145% |
| Allegiance Health Hospice | $161 | 3145% |
| Allied Natl | $161 | 3145% |
| Amfirst | $161 | 3145% |
| Avoy Parish School Board | $161 | 3145% |
| Avoyelles Parish Sheriff | $161 | 3145% |
| Bollinger | $161 | 3145% |
| Ccmsi | $161 | 3145% |
| Central States | $161 | 3145% |
| Christus Health Plan | $161 | 3145% |
| Compassionate Care Hospic | $161 | 3145% |
| Core Source | $161 | 3145% |
| Coushatta Hlth Dept | $161 | 3145% |
| Ebms | $161 | 3145% |
| Federated Ins | $161 | 3145% |
| Feedom Life | $161 | 3145% |
| Fidelity Standard Life Co | $161 | 3145% |
| Fox Everette | $161 | 3145% |
| Guarantee Trust | $161 | 3145% |
| Heart Of Hospice | $161 | 3145% |
| Hos Christus Hospice | $161 | 3145% |
| Hos Guardian Hospice Care | $161 | 3145% |
| Hos Harbor Hospice Alex | $161 | 3145% |
| Hos La Hospice Palliative | $161 | 3145% |
| Hos Passages Hospice N. | $161 | 3145% |
| Hos St Joseph Hospice | $161 | 3145% |
| Hospice Miscellaneous | $161 | 3145% |
| Ins Mgmnt Admin | $161 | 3145% |
| Ins Tpa | $161 | 3145% |
| Liberty Health Share | $161 | 3145% |
| Lumico | $161 | 3145% |
| Manhattan Life Ins | $161 | 3145% |
| Medi Share | $161 | 3145% |
| Misc Comm | $161 | 3145% |
| Nalc | $161 | 3145% |
| New Era Life | $161 | 3145% |
| North American | $161 | 3145% |
| Phcs | $161 | 3145% |
| Physicians Mutual | $161 | 3145% |
| Pipeline Ind Bene | $161 | 3145% |
| Progressive Auto | $161 | 3145% |
| Reliance Standard Life | $161 | 3145% |
| Rural Carriers | $161 | 3145% |
| Shelter Ins Co | $161 | 3145% |
| Sierre Health And Life | $161 | 3145% |
| State Farm | $161 | 3145% |
| State Mutual | $161 | 3145% |
| Sterling Investors | $161 | 3145% |
| The Health Plan | $161 | 3145% |
| Tribal Hlth Partners | $161 | 3145% |
| Tricare | $161 | 3145% |
| Uct | $161 | 3145% |
| Unified Life | $161 | 3145% |
| Usaa Life Ins | $161 | 3145% |
| Web-Tpa | $161 | 3145% |
| Woodmen Of The World | $161 | 3145% |