CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Frye Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Frye Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 420 N Center St, Hickory, NC.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $43 (840%)
Insurance Median: $8 (156%)
Cash: $43 (840% of Medicare)
Ins. Median: $8 (156% 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
UnitedHealthcare $4 - $10 78%
Aetna $5 - $12 98%
Amerihealth Caritas Next $5 98%
Cigna $5 98%
Humana $5 98%
Ambetter / Centene $6 117%
Rhf Investments $8 156%
Sherrill Furniture $8 156%
Vanguard Furniture $8 156%
Blue Cross Blue Shield $9 - $19 176%
Vaya Health $9 176%
Amerihealth Caritas North Carolina $10 195%
Carolina Complete Health Inc. $10 195%
Partners Health Management $10 195%
Wellcare Of North Carolina, Inc $10 195%
Meritain Health $11 215%
State Health Plan $19 371%
Samson Holding $24 469%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals