CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Parkland Health Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $43
Cash Discount Price: $38
vs. Medicare Baseline: 8.40x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Parkland Health Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 8.40x the Medicare baseline. Located in 1101 W Liberty, Farmington, MO.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $38 (742%)

Insurance Median: $43 (840%)

Cash: $38 (742% of Medicare)

Ins. Median: $43 (840% 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 840% of the Medicare baseline (a markup of 740%). 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 - $48	98%
Healthscope Benefits [258]	$6 - $42	117%
Consociate [478]	$9	176%
Sarah Bush Lincoln [636]	$9	176%
Cigna	$10 - $51	195%
Blue Cross Blue Shield	$12 - $56	234%
Mercy Behavioral Health [573]	$16	313%
Aetna	$29 - $48	566%
Healthlink [225]	$31 - $48	605%
Cox Health Systems Insurance Company [220]	$35 - $42	684%
Health Alliance [224]	$35	684%
Allied Benefits [498]	$37 - $48	723%
Hope Trust [806]	$37	723%
Coresource [497]	$39	762%
Fmh Benefit Service Inc [222]	$39	762%
Mail Handlers [495]	$39	762%
Med-Pay [480]	$42 - $48	820%
Unicare [568]	$42 - $48	820%
Humana	$43	840%
Apwu Health Plan [216]	$44	859%
Nalc Health Benefit Plan [242]	$44	859%
Priority Health [648]	$44	859%
Beechstreet [551]	$48	938%
Detego Health [868]	$48	938%
First Health Commercial [734]	$48	938%
Health Systems Inc [620]	$48	938%
Healthcare Sol Mercy [609]	$48	938%
Multiplan Commercial [737]	$48	938%
Multiplan [240]	$48	938%
Phcs [244]	$48 - $51	938%
Preferred Health Professionals [561]	$48	938%
Hfn [563]	$51	996%
Medica [661]	$51	996%

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 $38.
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 Parkland Health Center 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.