CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Poplar Bluff Regional Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $15 (293%)
Insurance Median: $7 (137%)
Cash: $15 (293% of Medicare)
Ins. Median: $7 (137% 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
Blue Cross Blue Shield $1 - $142 20%
Medicaid / KanCare $1 - $110 20%
Self Pay $1 - $132 20%
Access Health Services, Llc $3 - $313 59%
Cigna $3 - $439 59%
Evolutions Healthcare $3 - $299 59%
First Health $3 - $357 59%
Healthlink $3 - $343 59%
Parker Hannifin $3 - $384 59%
Tyson Foods $3 - $302 59%
UnitedHealthcare $3 - $295 59%
Blue Traditional $4 - $424 78%
Coventry Wc $4 - $439 78%
Multiplan $4 - $478 78%
Municipal Health $4 - $439 78%
Phcs $4 - $478 78%
Tricare $4 - $5 78%
Blue Access $5 98%
Centurion Correctional $5 - $6 98%
Compresults Wc $5 - $494 98%
Humana $5 98%
Medicare (plans) $5 98%
Node Ahs Mcr Adv $5 98%
Node Champva $5 98%
Node Devoted Health Mcr Adv $5 98%
Node Hospice Non Par Agree $5 98%
Node United Behavioral Health Mcr Adv $5 98%
Node Va $5 98%
Veterans Eval Services $5 98%
Node Pphp Mcr Adv $6 117%
Us Department Of Labor $6 117%
Naphcare $10 195%
Home State Exchange $13 254%
W W Wood $13 254%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals