CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Bertrand Chaffee Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Bertrand Chaffee Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $6 (117%)
Insurance Median: $5 (98%)
Cash: $6 (117% of Medicare)
Ins. Median: $5 (98% 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
Blue Cross Blue Shield $3 59%
Senior Blue - Bc $3 59%
Iha Essential Plans $4 78%
Iha Medisource $4 78%
Univera Essential Plans $4 78%
Univera Hc Child Health+ $4 78%
Univera Hc Myhealth+ $4 - $5 78%
Univera Plus Med $4 78%
Advantra-Mcr Advantage $5 98%
Aetna $5 - $7 98%
Centers Plan Hlty Living $5 98%
Champva $5 98%
Cigna $5 - $7 98%
Comm Blue Essential $5 98%
Community Blue $5 98%
Community Care - Bc $5 98%
Ctrs Plan For Hlthy Livng $5 98%
Fidelis Care Of New York $5 98%
Fidelis Essential Plans $5 98%
Geisinger Health Plan $5 98%
Ghi Medical $5 98%
Gowanda Correctional Fac $5 98%
Humana $5 98%
Iha $5 98%
Iha Custom Coverage $5 98%
Iha Encompass 65 $5 98%
Lifetime Benefits $5 98%
Medicaid / KanCare $5 98%
Medicare (plans) $5 98%
Molina Essential Plan $5 98%
Molina Heathcare Of Wny $5 98%
Mutual Of Omaha $5 98%
Nova Healthcare $5 98%
Optimum Healthcare - Mcr $5 98%
Seneca Nation Health Dept $5 98%
Todays Option - Amer Prog $5 98%
Tricare $5 98%
United Hc - Community Pln $5 98%
United Hc Essential Plan $5 98%
United Hc Mcr Solutions $5 98%
UnitedHealthcare $5 98%
Univera Hc Myhealth $5 98%
Univera Senior Choice $5 98%
Wellcare $5 98%
Yourcare $5 98%
Private Pay $6 117%
Univera Healthcare $6 117%
American Progressive Ins. $7 137%
Commercial / Misc $7 137%
Global Excel Mgt $7 137%
Guardian Life Ins. Co. $7 137%
Mvp Commercial $7 137%
No Amer Meritian Health $7 137%
No-Fault $7 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals