CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Stillwater Billings Clinic

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $45
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 8.79x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Stillwater Billings Clinic is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 8.79x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $47 (918%)
Insurance Median: $45 (879%)
Cash: $47 (918% of Medicare)
Ins. Median: $45 (879% 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 879% of the Medicare baseline (a markup of 779%). 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
Blue Cross Blue Shield $10 - $46 195%
Humana $19 - $33 371%
Pacific Source Mcr Advantage $19 - $33 371%
Tricare $19 - $33 371%
Pacific Steel Direct - All Plans $20 - $34 391%
Pacific Source Billings Clinic $21 - $36 410%
Allied Core Value $24 - $42 469%
Rci Wyoben $25 - $43 488%
Wyo-Ben Inc- All Plans $25 - $43 488%
Mountain Health Coop - All Plans $26 - $44 508%
Aetna $27 - $47 527%
All Savers-All Plans $27 - $46 527%
Allegiance Direct Ppo - All Other Plans $27 - $46 527%
Blackhawk - All Plans $27 - $46 527%
Boon Chapman First Choice Health $27 - $47 527%
Cigna $27 - $46 527%
Ebms First Choice Health $27 - $47 527%
Ebms Interwest $27 - $46 527%
Ebms Town Pump $27 - $46 527%
First Choice- All Plans $27 - $47 527%
Gpa Interwest- All Plans $27 - $46 527%
Interwest Health-All Plans $27 - $46 527%
Mtada- All Plans $27 - $46 527%
Murdoch Oil - All Plans $27 - $47 527%
Pacific Source Voyager - All Other Plans $27 - $46 527%
Pacificsource Nav $27 - $46 527%
Prodegi (Y-Tex Corp)- All Plans $27 - $46 527%
Rci First Choice Health - All Other Plans $27 - $47 527%
Rci Interwest $27 - $46 527%
Ryegate Public Schools - All Plans $27 - $47 527%
Savatree - All Plans $27 - $47 527%
Tabs - All Plans $27 - $47 527%
Town Pump Inc- All Plans $27 - $46 527%
Trustmark First Choice Health $27 - $47 527%
UnitedHealthcare $27 - $46 527%
Zenith First Choice Health- All Plans $27 - $47 527%
Allegiance State Of Mt $39 - $67 762%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals