CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Artesia General Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $48
Cash Discount Price: $73
vs. Medicare Baseline: 9.38x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Artesia General Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.38x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $73 (1426%)

Insurance Median: $48 (938%)

Cash: $73 (1426% of Medicare)

Ins. Median: $48 (938% 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 938% of the Medicare baseline (a markup of 838%). 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
Zelis	$4 - $48	78%
Blue Cross Blue Shield	$5 - $73	98%
Geha	$5 - $97	98%
Humana	$5 - $6	98%
Molina Healthcare Of New Mexico	$5 - $9	98%
Presbyterian Health Plan	$5 - $9	98%
Triwest	$5	98%
UnitedHealthcare	$5 - $103	98%
Vistacare Hospice	$5	98%
First Health	$9 - $109	176%
New Mexico Health Connections	$9	176%
Providence Risk & Insurance Services	$10 - $115	195%
Omni Networks	$85	1660%
Three Rivers Provider Network	$91	1777%
Cigna	$103 - $109	2012%
Galaxy Health	$109	2129%
One Health Plan	$109	2129%
Multiplan	$110	2148%
United Payors & United Providers	$113	2207%

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 $73.
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 Artesia General 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.