CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Mercy Hospital Southeast

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Mercy Hospital Southeast is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $55 (1074%)
Insurance Median: $9 (176%)
Cash: $55 (1074% of Medicare)
Ins. Median: $9 (176% 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
Medicaid / KanCare $2 - $23 39%
Aetna $5 - $99 98%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $5 98%
Blue Cross Blue Shield $5 - $146 98%
Cross Timbers Hospice [20098] $5 98%
Dept Of Veteran Affairs Contracted [320106] $5 98%
Elara Caring Aspire Hospice Contracted [320433] $5 98%
Elara Caring Aspire Hospice [20433] $5 98%
Halo Hcr Inc Hospice Contracted [320432] $5 98%
Halo Hcr Inc Hospice [20432] $5 98%
Humana $5 - $131 98%
Kindful Hospice Contracted [320434] $5 98%
Kindful Hospice [20434] $5 98%
Medicare (plans) $5 98%
Mercy Hospice Okc [20252] $5 98%
Pace Of The Ozarks Contracted [320518] $5 98%
Tricare $5 98%
UnitedHealthcare $5 - $12 98%
Provider Partners Health Plans Contracted [320450] $6 117%
United Medical Resources Contracted [320454] $6 117%
Ambetter / Centene $7 137%
Consociate Consolidated Health Contracted [320490] $7 - $11 137%
Home State Health Plan Contracted [320187] $7 137%
Auxiant Contracted [320462] $8 - $10 156%
Centivo Contracted [320505] $8 156%
Ebms Contracted [320493] $8 156%
Healthlink Contracted [320179] $8 - $120 156%
Imagine 360 Contracted [320494] $8 156%
Mercy Benefit Admin Contracted [320251] $8 - $105 156%
Yuzu Health Contracted [320521] $8 - $105 156%
First Health Contracted [320128] $9 - $99 176%
Health Alliance Contracted [320164] $9 - $100 176%
Preferred Health Plan Contracted [320522] $9 176%
Reflect Health Contracted [320492] $9 176%
Aither Health Contracted [320449] $10 - $105 195%
Edison Health Solutions Contracted [320502] $10 - $105 195%
Mercy Benefit Admin [20251] $10 - $105 195%
Workers Comp [20426] $10 - $123 195%
Multiplan Contracted [320270] $11 - $123 215%
Private Health Care Systems Contracted [320320] $11 - $123 215%
Hope Trust Contracted [320488] $13 254%
Cigna $14 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals