CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Parkland Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $22
  • Cash Discount Price: $182
  • vs. Medicare Baseline: 4.30x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Parkland Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 4.30x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.
Cash / Self-Pay
$182

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $182 (3555%)
Insurance Median: $22 (430%)
Cash: $182 (3555% of Medicare)
Ins. Median: $22 (430% 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 430% of the Medicare baseline (a markup of 330%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
John Hancock $4 78%
Amerihealth Caritas $5 98%
Blue Cross Blue Shield $5 - $80 98%
Cigna $5 - $152 98%
Evernorth Behavioral Health $5 98%
Humana $5 98%
Martin'S Point Health $5 98%
United $5 - $110 98%
United Behavioral Health $5 98%
United Va Ccn $5 98%
Well Sense Health Plan $5 98%
Ambetter / Centene $9 176%
Harvard Pilgrim $16 - $22 313%
Maine Community Health $57 - $96 1113%
Tufts Health Plan $104 - $107 2031%
Aetna $108 - $122 2109%
Mvp Health Plan $127 2480%
Corvel $131 2559%
Evernorth $146 2852%
Healthcare Value Mgmt $153 2988%
First Health $155 3027%
Oxford Health Plans $173 3379%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Parkland Drive, Derry, NH 03038
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals