CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: University of Michigan Health - West

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $42
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 8.20x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at University of Michigan Health - West is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 8.20x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $24 (469%)
Insurance Median: $42 (820%)
Cash: $24 (469% of Medicare)
Ins. Median: $42 (820% 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 820% of the Medicare baseline (a markup of 720%). 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
Priority Health $4 - $14 78%
Web Tpa $4 - $42 78%
Aetna $5 - $64 98%
Alliance Health & Life Ppo $5 - $64 98%
Asr Physicians $5 - $64 98%
Hap $5 - $64 98%
Golden Rule Ins $6 - $69 117%
Humana $6 - $72 117%
Medica $6 - $69 117%
Student Ins/Mega Life $6 - $69 117%
UnitedHealthcare $6 - $69 117%
Asr Cofinity $7 - $80 137%
Cofinity Commercial $7 - $80 137%
Cofinity Weyco $7 - $80 137%
Core Source $7 - $80 137%
Epoch Group $7 - $80 137%
Health Partners $7 - $80 137%
Hlthcomp Admin $7 - $80 137%
Mid America $7 - $80 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 Byron Center Avenue, Sw, Wyoming, MI 49519
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals