CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Neshoba County General Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Neshoba County General Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $18 (352%)
Insurance Median: $10 (195%)
Cash: $18 (352% of Medicare)
Ins. Median: $10 (195% 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
Humana $5 98%
Magnolia Mcaid $5 98%
Magnolia Mcr Adv-All Other Plans $5 98%
Molina Comm-All Other Plans $5 98%
Molina Mcaid $5 98%
Molina Mcr Adv $5 98%
Mpcn Mcaid $5 98%
Tricare $5 98%
UnitedHealthcare $5 - $20 98%
Wellcare Mcr Adv-All Plans $5 98%
Aetna $6 - $20 117%
First Choice Comm Ip/Op Only - All Plans $6 117%
Cigna $8 - $26 156%
Ahs Ip/Op Only-All Plans $9 - $30 176%
Affordable Health Care-All Plans $10 - $34 195%
Blue Cross Blue Shield $10 - $32 195%
Health Choice Ip/Op Only-All Plans $10 - $34 195%
Health Link Ip/Op Only-All Plans $10 - $34 195%
Geha-All Plans $11 - $36 215%
Multiplan-All Plans $11 - $36 215%
Mpcn Ip/Op Only-All Other Plans $15 - $50 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL