CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Ochsner Medical Center-Kenner

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $29
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 5.66x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Ochsner Medical Center-Kenner is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.66x the Medicare baseline. Located in 180 West Esplanade Avenue, Kenner, LA.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $19 (371%)
Insurance Median: $29 (566%)
Cash: $19 (371% of Medicare)
Ins. Median: $29 (566% 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 566% of the Medicare baseline (a markup of 466%). 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
Aetna $5 - $29 98%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $5 98%
Amerihealth Caritas Louisiana (Healthy Louisiana) $5 98%
Blue Cross Blue Shield $5 - $12 98%
Healthy Blue (Healthy Louisiana) $5 98%
Healthy Blue Dual Advantage (Hmo-D-Snp) $5 98%
Humana $5 98%
Louisiana Healthcare Connections (Healthy Louisiana) $5 98%
Medicaid / KanCare $5 98%
Medicare (plans) $5 98%
Ochsner Health Plan $5 98%
UnitedHealthcare $5 98%
Wellcare Of Louisiana $5 98%
Tricare $6 117%
Zelis $27 - $42 527%
Healthcomp & Personify Health (Formerly Gilsbar) $29 - $46 566%
Claritev D/B/A Multiplan/Phcs/American Life Care $32 - $49 625%
First Health Network $37 - $57 723%
Louisiana Workers' Compensation Corporation (Lwcc) $37 - $57 723%
Mississippi Physicians Care Network $37 - $57 723%
Galaxy Health Network Ppo $39 - $61 762%
Galaxy Health Network Wc $39 - $61 762%
Cigna $42 - $65 820%
Employers Health Network (Ehn) $42 - $65 820%
Prime Health Services Ppo $42 - $65 820%
Usa Managed Care Network $42 - $65 820%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 180 West Esplanade Avenue, Kenner, LA 70065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals