CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Barnes Jewish Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $21
Cash Discount Price: $20
vs. Medicare Baseline: 4.10x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Barnes Jewish Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 4.10x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $20 (391%)

Insurance Median: $21 (410%)

Cash: $20 (391% of Medicare)

Ins. Median: $21 (410% 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 410% of the Medicare baseline (a markup of 310%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$5 - $25	98%
Healthscope Benefits [258]	$6 - $21	117%
Cigna	$7 - $26	137%
Mercy Behavioral Health [573]	$8	156%
Aetna	$10 - $25	195%
Allied Benefits [498]	$10 - $25	195%
Consociate [478]	$10	195%
Coresource [497]	$10	195%
Fmh Benefit Service Inc [222]	$10	195%
Mail Handlers [495]	$10	195%
Sarah Bush Lincoln [636]	$10	195%
Apwu Health Plan [216]	$12	234%
Nalc Health Benefit Plan [242]	$12	234%
Priority Health [648]	$12	234%
Blue Cross Blue Shield	$16 - $29	313%
Healthlink [225]	$16 - $25	313%
Humana	$17	332%
Cox Health Systems Insurance Company [220]	$18 - $21	352%
Health Alliance [224]	$18	352%
Hope Trust [806]	$19	371%
Med-Pay [480]	$21 - $25	410%
Unicare [568]	$21 - $25	410%
Beechstreet [551]	$25	488%
Detego Health [868]	$25	488%
First Health Commercial [734]	$25	488%
Health Systems Inc [620]	$25	488%
Healthcare Sol Mercy [609]	$25	488%
Multiplan Commercial [737]	$25	488%
Multiplan [240]	$25	488%
Phcs [244]	$25 - $26	488%
Preferred Health Professionals [561]	$25	488%
Medica [661]	$26	508%
Hfn [563]	$28	547%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $20.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Barnes Jewish Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.