CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $23
Cash Discount Price: $26
vs. Medicare Baseline: 4.49x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Ochsner Stennis Memorial Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 4.49x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$26

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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: $26 (508%)

Insurance Median: $23 (449%)

Cash: $26 (508% of Medicare)

Ins. Median: $23 (449% 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 449% of the Medicare baseline (a markup of 349%). 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	$2 - $24	39%
Humana	$4 - $28	78%
Cigna	$5 - $28	98%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$5 - $28	98%
Medicaid / KanCare	$5	98%
Medicare (plans)	$5 - $32	98%
Primewell Health Services Commercial Exchange Plan	$5 - $31	98%
Primewell Health Services – Commercial	$5 - $31	98%
Shared Health Mississippi	$5 - $30	98%
Prime Health Services Ppo	$6 - $38	117%
Ambetter / Centene	$7 - $28	137%
Aetna	$9 - $31	176%
Blue Cross Blue Shield	$9	176%
Cor Vel	$9	176%
Prime Health Services Ppo -Workers Comp	$9	176%
Claritev D/B/A Multiplan/Phcs/American Life Care	$10 - $35	195%
Zelis	$12 - $35	234%
Select Administrative Services Network	$20 - $33	391%

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 $26.
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 Ochsner Stennis Memorial 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.