CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Novant Health Medical Park Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $54
Cash Discount Price: $51
vs. Medicare Baseline: 10.55x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Novant Health Medical Park Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 10.55x the Medicare baseline. Located in 1950 S Hawthorne Rd, Winston-Salem, NC.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $51 (996%)

Insurance Median: $54 (1055%)

Cash: $51 (996% of Medicare)

Ins. Median: $54 (1055% 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 1055% of the Medicare baseline (a markup of 955%). 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 - $77	98%
Blue Cross Blue Shield	$5 - $69	98%
Cigna	$5 - $57	98%
Humana	$5 - $75	98%
Liberty Health	$5	98%
Pace Of The Southern Piedmont	$5	98%
UnitedHealthcare	$5 - $65	98%
Nc Department Of Public Safety	$10 - $23	195%
Amerihealth	$18 - $23	352%
Carolina Complete	$18 - $23	352%
Wellcare	$18 - $23	352%
Caresource North Carolina	$30 - $38	586%
Atlantic Corporation Dba Atlantic Packaging	$42 - $54	820%
Plotkin Health	$45 - $58	879%
Amps	$49 - $62	957%
Medcost	$64 - $90	1250%
Primary Physician Care	$66 - $84	1289%
Beechstreet	$68 - $86	1328%
Multiplan	$68 - $86	1328%
Phcs	$68 - $86	1328%
Employers Choice Network	$73 - $93	1426%
Three Rivers Provider Network	$73 - $93	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 $51.
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 Medical Park Hospital 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.