CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Columbus Regional Healthcare System

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $46
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 8.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Columbus Regional Healthcare System is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 8.98x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $54 (1055%)
Insurance Median: $46 (898%)
Cash: $54 (1055% of Medicare)
Ins. Median: $46 (898% 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 898% of the Medicare baseline (a markup of 798%). 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
Aetna $5 - $75 98%
Blue Cross Blue Shield $5 - $50 98%
Cigna $5 - $74 98%
Devoted Health $5 98%
Humana $5 98%
Liberty $5 98%
Troy $5 98%
UnitedHealthcare $5 - $53 98%
Va Communicare Care $5 98%
Vaya Health $5 98%
Wellcare $5 - $17 98%
Molina $8 - $20 156%
Alliance $17 332%
Amerihealth $17 332%
Apex Health $17 332%
Cardinal $17 332%
Carolina Complete Health $17 332%
Healthy Blue $17 332%
Partners $17 332%
Sandhills $17 332%
Trillium $17 332%
Queens University $43 840%
Ambetter / Centene $45 - $53 879%
Oscar $50 - $57 977%
Employers Health Network $52 - $58 1016%
Quicktrip $62 1211%
Multiplan $70 - $74 1367%
Choicecare $74 1445%
Healthgram $74 1445%
Medcost $74 1445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Jefferson St, Whiteville, NC 28472
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals