CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Caromont Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Caromont Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $114 (2227%)
Insurance Median: $9 (176%)
Cash: $114 (2227% of Medicare)
Ins. Median: $9 (176% 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
Avalon $3 59%
Humana $3 - $100 59%
UnitedHealthcare $3 - $26 59%
Aetna $5 - $42 98%
Blue Cross Blue Shield $5 - $38 98%
Devoted Health $5 98%
Healthteam $5 98%
Longevity Health $5 98%
Molina $5 - $6 98%
Absolute Total Care $6 117%
Corporate Benefits Service $6 117%
Carolina Complete Health $8 156%
Partners Behavioral Health $8 156%
Alliance Behavioral Health $9 176%
Amerihealth Caritas $9 176%
Carolina Complete Health Tailored Plans $9 176%
Surgery Plus $9 176%
Vaya Behavioral Health $9 176%
Wellcare $9 176%
Cigna $10 - $16 195%
Carolina Caring $13 - $90 254%
Gaston County Jail $17 332%
Medcost $43 840%
Beech Street $93 1816%
Multiplan $93 1816%
Self Pay $103 2012%
First Health Network $108 2109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals