CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: The Children's Mercy Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $39
Cash Discount Price: $29
vs. Medicare Baseline: 7.62x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at The Children's Mercy Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 7.62x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $29 (566%)

Insurance Median: $39 (762%)

Cash: $29 (566% of Medicare)

Ins. Median: $39 (762% 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 762% of the Medicare baseline (a markup of 662%). 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 - $40	98%
Healthy Blue	$6 - $14	117%
Medicaid / KanCare	$6	117%
Home State Health	$12	234%
Blue Cross Blue Shield	$25 - $44	488%
Cigna	$29 - $42	566%
Medica	$35	684%
Aetna	$36 - $41	703%
Centivo	$39	762%
Health Midwest Comprehensive Care	$39	762%
Nebraska Furniture Mart	$39	762%
Orscheln	$39	762%
Quiktrip	$39	762%
Wellfit/Centrus	$39	762%
Wppa Providrs Care	$39	762%
Humana	$40	781%
Coventry Health Care Of Kansas	$44	859%
Coxhealth Network	$44	859%
Mercy Health	$45	879%
Multiplan	$46	898%
American Healthcare Alliance	$51	996%
Healthlink	$53	1035%
National Preferred Provider Network	$54	1055%

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 $29.
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 The Children's Mercy 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.