CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Merit Health Wesley

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Merit Health Wesley is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $36 (703%)
Insurance Median: $6 (117%)
Cash: $36 (703% of Medicare)
Ins. Median: $6 (117% 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 $4 - $5 78%
Aetna $5 - $58 98%
Caresource Truecare $5 98%
First Choice $5 - $111 98%
Humana $5 98%
Magnolia $5 98%
Magnolia Mcd Ms Chip $5 98%
Medicare (plans) $5 98%
Molina $5 98%
Molina Chip $5 98%
Node Champva $5 98%
Node Devoted Health Mcr Adv $5 98%
Node First Choice American Health Mcr Adv $5 98%
Node First Choice Wellcare Mcr Adv $5 98%
Node Hospice Non Par Agree $5 98%
Node Va $5 98%
Node Vantage Mcr Adv $5 98%
Tricare $5 98%
UnitedHealthcare $5 - $16 98%
Veterans Eval Services $5 98%
Node Healthy Mississippi Mcr Adv $6 117%
Node Us Dept Of Labor $6 117%
Advanced Health Systems $9 176%
Blue Cross Blue Shield $9 176%
First Choice Molina $9 176%
Magnolia Exchange $9 176%
Molina Exchange $9 176%
Ms Work Comp $9 176%
First Choice Lgp $11 215%
Vantage Health $12 234%
Chs Group Health Plan $28 547%
Self Pay $29 - $42 566%
Cigna $39 762%
Trimed Billing Solutions $42 820%
Benefit Management Services $91 1777%
Coventry First Health $104 2031%
Ms Dept Of Rehabilitation Services $139 2715%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals