CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Boston Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Boston Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $14 (273%)
Insurance Median: $5 (98%)
Cash: $14 (273% of Medicare)
Ins. Median: $5 (98% 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.

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
Medicaid / KanCare $4 - $5 78%
Aetna $5 - $15 98%
Blue Cross Blue Shield $5 - $10 98%
Cca [1215] $5 98%
Corrections [9001] $5 - $6 98%
Eternalhealth [1227] $5 98%
Fallon Healthcre Aco [1121] $5 98%
Hlth New England Aco [1123] $5 98%
Humana $5 98%
Mass General Brigham Health Plan Aco [1120] $5 98%
Mass General Brigham Health Plan Mcd Mnged [1107] $5 98%
Medicare (plans) $5 98%
Neighborhood Pace [1206] $5 98%
Oxford Health [1007] $5 98%
Oxford Health [2024] $5 98%
Tufts Together Aco [1122] $5 98%
Tufts Together Mco [1125] $5 98%
Tufts [8002] $5 - $14 98%
Ubh Hphc [8016] $5 98%
United [2025] $5 - $16 98%
UnitedHealthcare $5 98%
Veterans Admin [9003] $5 98%
Wellcare [1240] $5 98%
Wellsense Alli Aco [1118] $5 98%
Wellsense Essential Mco [1101] $5 98%
Wellsense [7001] $5 98%
Zzzcca Onecare [1216] $5 98%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $5 98%
Zzzunited [1008] $5 - $16 98%
Champva [9004] $6 117%
Cigna $6 - $14 117%
Fallon Sco [1126] $6 117%
Senior Whole Health [1210] $6 117%
Tricare $6 117%
Tufts Conncare/Qhp [8020] $6 - $7 117%
Fallon [8008] $7 137%
Workers Comp [5002] $7 137%
Zzzbu Employee Work Comp [5004] $7 137%
Zzzcity Of Boston Work Comp [5003] $7 137%
Unicare [8004] $9 176%
Wellpoint [2034] $9 176%
Uphams Corner Esp [1213] $12 234%
Meritain Health [1023] $13 254%
Harvard Pilgrim Health Care [8001] $16 313%
Health Plans Inc [2027] $16 313%
Mass General Brigham Health Plan Commercial [8009] $16 313%
Zzzhealth Plans Inc [1013] $16 313%
Hsn Bad Debt [4003] $513 10020%
Hsn Confidential [4007] $513 10020%
Hsn Dental [4006] $513 10020%
Hsn Partial [4002] $513 10020%
Hsn [4001] $513 10020%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals