CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Bayou Bend Health System

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $26
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 5.08x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Bayou Bend Health System is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.08x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $29 (566%)
Insurance Median: $26 (508%)
Cash: $29 (566% of Medicare)
Ins. Median: $26 (508% 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 508% of the Medicare baseline (a markup of 408%). 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
UnitedHealthcare $5 - $26 98%
Blue Cross Blue Shield $7 - $37 137%
Tricare $14 - $24 273%
Aetna $15 - $36 293%
Dignity Mcr Adv Ip/Op Only-All Plans $15 - $26 293%
Humana $15 - $34 293%
Sterling Hp Mcr Adv Ip/Op Only-All Plans $15 - $26 293%
Verity Healthnet Mcr Adv Ip/Op Only $15 - $26 293%
Wellcare Mcr Allwell Ip/Op Only-All Plans $15 - $26 293%
Ambetter / Centene $17 - $30 332%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans $21 - $37 410%
Cigna $21 - $37 410%
La Health Mcaid Ip/Op Only $21 - $37 410%
Verity Healthnet Mcaid Ip/Op Only $21 - $37 410%
Diocese Of Lafaytte Ip/Op Only-All Plans $22 - $40 430%
Gilsbar 360 Ip/Op Only-All Plans $22 - $40 430%
Verity Healthnet Ip/Op Only-All Other Plans $22 - $40 430%
Ccn/First Health Ip/Op Only-All Plans $24 - $42 469%
Integrated Hp Multiplan Ip/Op Only-All Plans $24 - $42 469%
Ppo Plus / Zelis Ip/Op Only-All Plans $24 - $42 469%
Geha Ppo Ip/Op Only-All Plans $26 - $45 508%
Usa Mco Ip/Op Only-All Plans $26 - $45 508%
Galaxy Ip/Op Only-All Plans $27 - $48 527%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1097 Northwest Blvd, Franklin, LA 70538
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals