CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Memorial Health Care Systems

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $45
Cash Discount Price: $71
vs. Medicare Baseline: 8.79x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Memorial Health Care Systems is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 8.79x the Medicare baseline. Located in 300 North Columbia Ave, Seward, NE.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $71 (1387%)

Insurance Median: $45 (879%)

Cash: $71 (1387% of Medicare)

Ins. Median: $45 (879% 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 879% of the Medicare baseline (a markup of 779%). 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
Molina Mcaid-All Plans	$34 - $43	664%
Ne Total Care Mcaid-All Plans	$34 - $43	664%
UnitedHealthcare	$34 - $74	664%
Beshp Mcr Adv - All Plans	$36 - $45	703%
Blue Cross Blue Shield	$36 - $75	703%
Medica Mcare Cost	$36 - $45	703%
Medica Mcr Adv	$36 - $45	703%
Tricare	$36 - $45	703%
Wellcare Mcr Adv - All Plans	$37 - $46	723%
Ambetter / Centene	$60 - $76	1172%
Medica Comm-All Other Plans	$60 - $76	1172%
Medica Elevate	$60 - $76	1172%
Phcs Ppo-All Plans	$60 - $75	1172%
Midlands Choice-All Plans	$61 - $77	1191%
Aetna	$62 - $77	1211%

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 $71.
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 Memorial Health Care Systems 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.