CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Merit Health River Oaks

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Merit Health River Oaks is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$25

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: $25 (488%)
Insurance Median: $5 (98%)
Cash: $25 (488% 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 - $29 20%
First Choice Coventry $1 - $75 20%
First Choice Mpcn Standard $1 - $79 20%
First Choice Ppo Plus $1 - $79 20%
First Choice Standard $1 - $66 20%
Phcs $1 - $86 20%
Self Pay $1 - $32 20%
Trimed Billing Solutions $1 - $43 20%
UnitedHealthcare $1 - $38 20%
Advanced Health Systems $2 - $9 39%
Aetna $2 - $101 39%
American Health Group $2 - $122 39%
Beech Street $2 - $122 39%
Benefit Administration Services $2 - $122 39%
Benefit Management Systems $2 - $122 39%
Blue Cross Blue Shield $2 - $9 39%
Citizens State Bank Inc $2 - $122 39%
First Choice Stratose $2 - $115 39%
Formost $2 - $122 39%
Humana $2 - $5 39%
Medicaid / KanCare $2 - $5 39%
Medicare (plans) $2 - $5 39%
Molina $2 - $5 39%
Molina Exchange $2 - $9 39%
Ms Dept Of Rehabilitation Services $2 - $144 39%
Ms State Hospital Of Whitfield Ms $2 - $55 39%
Node Champva $2 - $5 39%
Node Devoted Health Mcr Adv $2 - $5 39%
Node First Choice American Health Mcr Adv $2 - $5 39%
Node First Choice Seven Corners $2 - $9 39%
Node First Choice Shared Health Of Ms Mcr Adv $2 - $5 39%
Node First Choice Wellcare Mcr Adv $2 - $5 39%
Node Healthy Mississippi Mcr Adv $2 - $6 39%
Node Hospice Non Par Agree $2 - $5 39%
Node Va $2 - $5 39%
Node Vantage Health Mcr Adv $2 - $5 39%
One Health Plan $2 - $130 39%
Prime Health Services $2 - $115 39%
Tricare $2 - $5 39%
Usa Mco $2 - $122 39%
Veterans Eval Services $2 - $5 39%
First Choice Preferred $3 - $8 59%
Node First Choice Occunet $3 - $8 59%
Node Us Dept Of Labor $3 - $6 59%
Magnolia Exchange $4 - $9 78%
Caresource Truecare $5 98%
First Choice Lgp $5 - $11 98%
Magnolia Mcd Chip $5 98%
Molina Chip $5 98%
Vantage Health Commercial $5 - $12 98%
Ms Work Comp $9 176%
Prime Health Wc $9 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals