CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Cheshire Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $17
Cash Discount Price: $31
vs. Medicare Baseline: 3.32x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Cheshire Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.32x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $31 (605%)

Insurance Median: $17 (332%)

Cash: $31 (605% of Medicare)

Ins. Median: $17 (332% 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 332% of the Medicare baseline (a markup of 232%). 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 - $78	98%
Ambetter / Centene	$5	98%
Amerihealth Caritas Nh	$5 - $14	98%
Blue Cross Blue Shield	$5 - $91	98%
Cigna	$5 - $56	98%
Granite State Health Plan	$5 - $19	98%
Martin'S Point Generations Advantage	$5	98%
Martin'S Point Health Care	$5	98%
Mvp	$5 - $56	98%
UnitedHealthcare	$5 - $87	98%
Wellcare Health Plans	$5	98%
Wellsense Health Plan	$5 - $16	98%
Mass General Brigham Health Plan	$7 - $114	137%
Harvard Pilgrim Health Care Of Ne	$9 - $52	176%
Tufts Health Plan	$14 - $73	273%
Maine Community Health Options	$51	996%
First Health/Hcvm	$97	1895%
Phcs	$103	2012%

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 $31.
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 Cheshire Medical Center 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.