CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Bienville Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $37
Cash Discount Price: $41
vs. Medicare Baseline: 7.23x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Bienville Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 7.23x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $41 (801%)

Insurance Median: $37 (723%)

Cash: $41 (801% of Medicare)

Ins. Median: $37 (723% 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 723% of the Medicare baseline (a markup of 623%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$4 - $68	78%
Medicaid / KanCare	$4 - $5	78%
Mmd Amerihealth Caritas	$4 - $5	78%
Mmd Healthy Blue	$4 - $5	78%
Mmd La Hlth Conn	$4 - $5	78%
Mmd Misc	$4 - $5	78%
UnitedHealthcare	$4 - $37	78%
Ambetter / Centene	$5 - $37	98%
Humana	$5 - $44	98%
Mcr American Hlth Adv	$5 - $37	98%
Medicare (plans)	$5 - $37	98%
Misc Mgd Care	$5 - $68	98%
Mmc Blue Advantage	$5 - $37	98%
Mmc Misc	$5 - $37	98%
Peoples Health Mcr Adv	$5 - $37	98%
Va Health	$5 - $37	98%
Cashiering	$27 - $41	527%
Cigna	$34	664%
Blue Cross Blue Shield	$41	801%
Wc City Of Arcadia	$61	1191%
Wc House Of Raeford	$61	1191%
Wc Misc	$61	1191%
Wc Stonetrust	$61	1191%
Aarp	$68	1328%
Allegiance Health Managme	$68	1328%
Amfirst	$68	1328%
Apwu	$68	1328%
Liberty Mutual	$68	1328%
Misc Comm A-L	$68	1328%
Misc Comm M-Z	$68	1328%
Tricare	$68	1328%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $41.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bienville Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.