CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Merit Health Central

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Merit Health Central is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$2

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $2 (39%)
Insurance Median: $5 (98%)
Cash: $2 (39% of Medicare)
Ins. Median: $5 (98% 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
Cigna $1 - $89 20%
Self Pay $1 - $112 20%
UnitedHealthcare $1 - $95 20%
First Choice Ppo Plus $2 - $202 39%
First Choice Standard $2 - $207 39%
Ms State Hospital Of Whitfield $2 - $171 39%
Trimed Billing Solutions $2 - $135 39%
First Choice Mpcn Standard $3 - $248 59%
American Health Group $4 - $382 78%
Beech Street $4 - $382 78%
Benefit Management Systems $4 - $382 78%
Citizens State Bank Inc $4 - $382 78%
First Choice Stratose $4 - $360 78%
Hinds County Prisoners $4 78%
Prime Health Services $4 - $360 78%
Tricare $4 - $5 78%
Advanced Health Systems $5 - $9 98%
Aetna $5 - $500 98%
Blue Cross Blue Shield $5 - $9 98%
Caresource Truecare $5 98%
Humana $5 98%
Magnolia Mcd Ms Chip $5 98%
Medicaid / KanCare $5 98%
Medicare (plans) $5 98%
Molina $5 98%
Molina Chip $5 98%
Molina Exchange $5 - $9 98%
Ms Dept Of Rehabilitation Services $5 - $450 98%
Node Champva $5 98%
Node Devoted Health Mcr Adv $5 98%
Node First Choice American Health Of Ms Mcr Adv $5 98%
Node First Choice Shared Health Of Ms Mcr Adv $5 98%
Node First Choice Wellcare Mcr Adv $5 98%
Node Hospice Non Par Agree $5 98%
Node Magnolia Mcr Adv $5 98%
Node Va $5 98%
Node Vantage Health Mcr Adv $5 98%
One Health Plan $5 - $405 98%
Seven Corners $5 - $9 98%
Veterans Eval Services $5 98%
Node Healthy Mississippi Mcr Adv $6 117%
Node Us Dept Of Labor $6 117%
First Choice Preferred $8 156%
Occunet $8 156%
Magnolia Exchange $9 176%
Ms Work Comp $9 176%
Prime Work Comp $9 176%
First Choice Lgp $11 215%
Vantage Health Commercial $12 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals