CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Novant Health Thomasville Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $59
Cash Discount Price: $57
vs. Medicare Baseline: 11.52x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Novant Health Thomasville Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 11.52x the Medicare baseline. Located in 207 Old Lexington Rd Box 789, Thomasville, NC.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $57 (1113%)

Insurance Median: $59 (1152%)

Cash: $57 (1113% of Medicare)

Ins. Median: $59 (1152% 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 1152% of the Medicare baseline (a markup of 1052%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $92	98%
Blue Cross Blue Shield	$5 - $83	98%
Cigna	$5 - $70	98%
Humana	$5 - $90	98%
Liberty Health	$5	98%
Pace Of The Southern Piedmont	$5	98%
UnitedHealthcare	$5 - $77	98%
Nc Department Of Public Safety	$10 - $21	195%
Amerihealth	$14 - $21	273%
Carolina Complete	$14 - $21	273%
Wellcare	$14 - $21	273%
Caresource North Carolina	$30 - $46	586%
Atlantic Corporation Dba Atlantic Packaging	$42 - $65	820%
Plotkin Health	$45 - $69	879%
Amps	$49 - $75	957%
Medcost	$64 - $108	1250%
Primary Physician Care	$66 - $101	1289%
Multiplan	$68 - $104	1328%
Phcs	$68 - $104	1328%
Employers Choice Network	$73 - $112	1426%
Three Rivers Provider Network	$73 - $112	1426%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $57.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Thomasville Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.