CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $17
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.32x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Intermountain Health St Vincent Regional Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.32x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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%)
Insurance Median: $17 (332%)
Ins. Median: $17 (332% 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 332% of the Medicare baseline (a markup of 232%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medicare (plans) $5 98%
UnitedHealthcare $5 - $21 98%
Ebms-Employee Benefit Mng $9 - $19 176%
Coastal Administrative Services $10 195%
Sibanye Stillwater Health Partners $10 195%
Exchange Other $12 - $15 234%
First Choice Health $12 - $20 234%
Mt Health Co-Op $12 - $15 234%
Other $12 - $20 234%
Allegiance $13 - $20 254%
Pacific Steel And Recycling $13 254%
Pacificsource $13 - $20 254%
Aetna $14 273%
Blue Cross Blue Shield $14 - $41 273%
Meritain Health $14 - $19 273%
Cigna $15 - $20 293%
Preferred One $19 - $21 371%
Interwest $20 391%
Private Hlthcare Sys $20 391%
Geha $21 410%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals