CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Bellevue Hospital Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $17
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 3.32x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Bellevue Hospital Center is $17. 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 3.32x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$5

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: $5 (98%)
Insurance Median: $17 (332%)
Cash: $5 (98% 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.

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
Aetna $4 - $15 78%
Blue Cross Blue Shield $4 - $97 78%
Healthfirst $4 - $97 78%
Centerlight $5 - $6 98%
Centers Plan For Healthy Living $5 98%
Elderplan $5 98%
Fidelis $5 - $97 98%
Hamaspik $5 - $6 98%
Metroplus $5 - $97 98%
Oxford $5 - $7 98%
Magnacare $6 117%
Villagecare Max $6 - $18 117%
Wellcare $6 - $8 117%
Oscar $7 - $8 137%
United $7 - $54 137%
Local 1199 $8 - $18 156%
Affinity $9 - $97 176%
Cigna $13 254%
Carelon $14 - $43 273%
Emblem $15 - $58 293%
Multiplan $17 332%
Vnsny $18 - $44 352%
Amidacare $43 840%
Senior Whole Health $43 840%
United Behavioral Health $43 - $48 840%
Carelon (Amida Care) $44 859%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals