CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Mary Lanning Healthcare

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Mary Lanning Healthcare is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $52 (1016%)
Insurance Median: $10 (195%)
Cash: $52 (1016% of Medicare)
Ins. Median: $10 (195% 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
Aetna $3 - $88 59%
UnitedHealthcare $4 - $5 78%
Blue Cross Blue Shield $5 - $100 98%
Medica Mcr Adv $5 98%
Ne Total Care Mcr Adv $5 98%
Tricare $5 98%
Va Ccn - All Plans $5 98%
Ambetter / Centene $8 - $23 156%
Consociate Inc-All Plans $8 - $84 156%
Medica-All Other Plans $9 - $87 176%
Workers Compensation-All Plans $12 - $98 234%
Multiplan-All Plans $14 - $95 273%
Provider Network Of America-All Plans $14 - $90 273%
Nhn/Mna-All Plans $81 1582%
Midlands Choice-All Plans $90 1758%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 N St Joseph Ave, Hastings, NE 68901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals