CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Holland Community Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Holland Community Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $18 (352%)
Insurance Median: $8 (156%)
Cash: $18 (352% of Medicare)
Ins. Median: $8 (156% 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
Nomi Health - All Plans $2 39%
UnitedHealthcare $2 - $30 39%
Aetna $5 - $7 98%
Health Alliance Mcr Adv $5 98%
Life Circles-All Plans $5 98%
Ph Mcr Adv $5 98%
Va Ccn - All Plans $5 98%
Cofinity -All Plans $6 117%
Longevity Health Plan-All Plans $6 117%
Asr - All Plans $8 156%
Health Alliance Ahl - All Other Plans $8 156%
Health Alliance Hmo $8 156%
Sisco Epi $8 156%
Sisco-All Other Plans $8 156%
Molina Mcaid - All Plans $10 195%
Ph Mcaid $10 195%
Cigna $11 215%
Priority Health - All Other Plans $12 234%
Multiplan - All Plans $26 508%
Benefit Source Inc-All Plans $27 527%
First Health-All Plans $27 527%
Usa Managed Care-All Plans $27 527%
Integrated Health Plans-All Plans $28 547%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals