CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medstar Good Samaritan Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medstar Good Samaritan Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 5601 Loch Raven Boulevard, Baltimore, MD.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (117%)
Insurance Median: $6 (117%)
Cash: $6 (117% of Medicare)
Ins. Median: $6 (117% 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
Aetna $6 117%
Amerigroup $6 117%
Amerihealth Caritas District Of Columbia $6 117%
Carefirst Advantage Inc $6 117%
Carefirst Blue Choice Inc $6 117%
Cigna $6 117%
First Health $6 117%
Hscsn $6 117%
Humana $6 117%
Kaiser Permanente $6 117%
Magellan Behavioral Health Inc $6 117%
Mamsi $6 117%
Medstar Family Choice $6 117%
Medstar Family Choice Inc $6 117%
Ncppo Healthlink Ppo $6 117%
Pfc $6 117%
Private Healthcare Systems (Phcs) $6 117%
Tricare $6 117%
United Behavioral Health Inc $6 117%
UnitedHealthcare $6 117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5601 Loch Raven Boulevard, Baltimore, MD 21239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals