CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Chelsea Hospital
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $17
- Cash Discount Price: $95
- vs. Medicare Baseline: 3.32x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Chelsea Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.32x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$95
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
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: $95 (1855%)
Insurance Median: $17 (332%)
Cash: $95 (1855% of Medicare)
Ins. Median: $17 (332% 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 332% of the Medicare baseline (a markup of 232%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| U Of M Health Plan | $2 | 39% |
| Blue Cross Blue Shield | $3 - $17 | 59% |
| Medicaid / KanCare | $3 | 59% |
| Aetna | $5 - $18 | 98% |
| Align Senior Care | $5 | 98% |
| Angela Hospice | $5 | 98% |
| Arbor Hospice | $5 | 98% |
| Blue Care Network Advantage | $5 | 98% |
| Cca - Zing Health | $5 | 98% |
| Heartland Hospice | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| UnitedHealthcare | $5 - $26 | 98% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $6 | 117% |
| Molina Marketplace | $7 | 137% |
| Geha | $8 - $26 | 156% |
| Health Cost Solutions | $8 | 156% |
| Meritain | $8 | 156% |
| Vitalcore | $8 | 156% |
| Wellpath | $8 | 156% |
| Wc Accident Fund | $10 | 195% |
| Wc Advantage | $10 | 195% |
| Wc Aig | $10 | 195% |
| Wc Allied | $10 | 195% |
| Wc Amerisure | $10 | 195% |
| Wc Amtrust | $10 | 195% |
| Wc Asu Risk Mgt | $10 | 195% |
| Wc Berkley Admin | $10 | 195% |
| Wc Broadspire | $10 | 195% |
| Wc Bunch & Associates | $10 | 195% |
| Wc Ccmsi | $10 | 195% |
| Wc Emc Insurance Company | $10 | 195% |
| Wc Esis | $10 | 195% |
| Wc Fcci | $10 | 195% |
| Wc Federated | $10 | 195% |
| Wc Gallagher Bassett | $10 | 195% |
| Wc Genex Care For Ohio | $10 | 195% |
| Wc Guard Insurance Company | $10 | 195% |
| Wc Hartford | $10 | 195% |
| Wc Liberty Mutual | $10 | 195% |
| Wc Meijers | $10 | 195% |
| Wc Michigan | $10 | 195% |
| Wc Mitchell Frankenmuth | $10 | 195% |
| Wc Pma | $10 | 195% |
| Wc Sedgwick | $10 | 195% |
| Wc Sentry | $10 | 195% |
| Wc Travelers | $10 | 195% |
| Wc Tristar | $10 | 195% |
| Wc Walmart | $10 | 195% |
| Wc Zurich | $10 | 195% |
| Employee Benefit Logistic | $12 | 234% |
| Priority Health | $12 - $13 | 234% |
| Asr Health Benefits | $17 | 332% |
| Bcn Domestic | $17 | 332% |
| Blue Benefit Administrators Of Massachusetts | $17 | 332% |
| Blue Care Network | $17 | 332% |
| Blue Distinction Transplant | $17 | 332% |
| Blue Shield - Ca | $17 | 332% |
| Blue Shield - Id (Regence) | $17 | 332% |
| Blue Shield - Ny Highmark Northeastern | $17 | 332% |
| Blue Shield - Ny Highmark Western | $17 | 332% |
| Blue Shield - Pa (Highmark) | $17 | 332% |
| Blue Shield - Wa (Regence) | $17 | 332% |
| Caresource | $17 | 332% |
| Hap | $17 - $30 | 332% |
| Health Choices | $17 - $25 | 332% |
| Kaiser Domestic | $17 | 332% |
| Varipro | $17 | 332% |
| Access Health | $25 | 488% |
| Acclaim | $25 | 488% |
| Administrative Concepts | $25 | 488% |
| Allegeant | $25 | 488% |
| Ameriben | $25 | 488% |
| American Family | $25 | 488% |
| American Healthcare Alliance | $25 | 488% |
| American National | $25 | 488% |
| American Republic | $25 | 488% |
| Amerihealth | $25 | 488% |
| Aultcare | $25 | 488% |
| Automated Benefit Services | $25 | 488% |
| Auxiant | $25 | 488% |
| Benefit Administrative Systems,Llc | $25 | 488% |
| Boon Chapman | $25 | 488% |
| Cam Administrative Services | $25 | 488% |
| Christian Brother Services | $25 | 488% |
| Christian Brothers Holy Cross | $25 | 488% |
| Comprehensive Benefits | $25 | 488% |
| Continental Life Insurance | $25 | 488% |
| Custom Benefit Administrators | $25 | 488% |
| Employee Benefit Concepts | $25 | 488% |
| Employee Benefit Management | $25 | 488% |
| Enterprise Group Planning | $25 | 488% |
| Freedom Life Insurance Company | $25 | 488% |
| Group Administrators | $25 | 488% |
| Group Marketing Services | $25 | 488% |
| Guardian | $25 | 488% |
| Health America | $25 | 488% |
| Healthcare Management Admin | $25 | 488% |
| Healthez | $25 | 488% |
| Humana | $25 | 488% |
| Insight | $25 | 488% |
| Intercare | $25 | 488% |
| Jfp Benefit Management | $25 | 488% |
| Jp Farley Corporation | $25 | 488% |
| Key Benefit Administrator | $25 | 488% |
| Liberty Union Life Assurance Co | $25 | 488% |
| Lucent Health | $25 | 488% |
| Luminare Health | $25 | 488% |
| Luminare Health (Detroit) | $25 | 488% |
| Magnacare | $25 | 488% |
| Medben | $25 | 488% |
| Medcost | $25 | 488% |
| Medical Mutual | $25 | 488% |
| Mutual Health Services | $25 | 488% |
| Mutual Of Omaha | $25 | 488% |
| Ncas | $25 | 488% |
| Nippon Life Ins | $25 | 488% |
| Nova | $25 | 488% |
| Painters Union Insurance Fund | $25 | 488% |
| Physicians Mutual | $25 | 488% |
| Plumbers Local 98 Insurance Fund | $25 | 488% |
| Prairie States | $25 | 488% |
| Preferred One | $25 | 488% |
| Primary Physician Care | $25 | 488% |
| Professional Benefit Administrators | $25 | 488% |
| Siho Insurance Services | $25 | 488% |
| Sisco Benefits | $25 | 488% |
| The Loomis Company | $25 | 488% |
| Unicare | $25 | 488% |
| Us Health And Life | $25 | 488% |
| Valenz | $25 | 488% |
| Western & Southern Financial Group | $25 | 488% |
| Wps | $25 | 488% |
| Coventry | $26 | 508% |
| First Health | $26 | 508% |
| Cigna | $27 | 527% |
| Hospice Of Michigan | $27 | 527% |
| 1199 National Benefit Fund | $28 | 547% |
| Allied National Global Care | $28 | 547% |
| Asrm - Reliance Standard Life Insurance | $28 | 547% |
| Christian Care Ministry | $28 | 547% |
| Dean Health | $28 | 547% |
| Fallon Health | $28 | 547% |
| Family Life Insurance Company | $28 | 547% |
| Ghc Scw | $28 | 547% |
| Group Pension Administrators | $28 | 547% |
| International Benefit Administrators | $28 | 547% |
| Lifetime Benefit Solutions | $28 | 547% |
| Manhattan Life | $28 | 547% |
| Medi Share | $28 | 547% |
| Multiplan | $28 | 547% |
| Mvp | $28 | 547% |
| Pai | $28 | 547% |
| Pan-American Life | $28 | 547% |
| Paramount Hmo | $28 | 547% |
| Phcs | $28 | 547% |
| Trinity Health Share | $28 | 547% |
| Health Partners | $30 | 586% |
| Prime Health Services | $30 | 586% |
| Tufts Health Plan | $30 | 586% |
| Three Rivers Provider Network | $34 | 664% |
| Cmh Detroit Wayne Integrated Health Network | $38 | 742% |
| Cmh Jackson County/Lifeways | $38 | 742% |
| Cmh Lenawee County | $38 | 742% |
| Cmh Livingston County | $38 | 742% |
| Cmh Misc | $38 | 742% |
| Cmh Monroe County | $38 | 742% |
| Cmh Washtenaw County | $38 | 742% |
| Magellan Behavioral Health | $38 | 742% |