CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Saint Mary's Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Saint Mary's Regional Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $5 (98%)
Insurance Median: $6 (117%)
Cash: $5 (98% of Medicare)
Ins. Median: $6 (117% 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
Access To Healthcare Network $1 20%
Blue Cross Blue Shield $4 - $5 78%
Health Plan Of Nevada $4 - $5 78%
Medicaid / KanCare $4 78%
Molina Healthcare Of Nv $4 - $5 78%
Silver Summit $4 - $9 78%
Aetna $5 - $13 98%
Alignment $5 98%
Medicare (plans) $5 98%
Saint Mary Health Plan $5 - $6 98%
Sierra $5 98%
Tricare $5 98%
Triwest $5 98%
UnitedHealthcare $5 - $7 98%
Occunet $6 - $87 117%
Pam $6 117%
Veterans Evaluation Service Ves $6 117%
Employer Direct $7 137%
Home Town Test $7 137%
Naphcare $7 137%
Asserta Health $8 156%
Imperial Insurance Company $8 - $9 156%
6 Degrees $10 195%
Nevada Health Partners $10 195%
Custom Ink $11 215%
Nv Preferred $11 - $12 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals