CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: NYU Langone Hospitals

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $17
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 3.32x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at NYU Langone Hospitals is $17. 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 3.32x the Medicare baseline. Located in 550 First Avenue, New York, NY.
Cash / Self-Pay
$6

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: $6 (117%)
Insurance Median: $17 (332%)
Cash: $6 (117% 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
Centerlight $5 98%
Fidelis $5 - $160 98%
Ghi $5 - $12,574 98%
Healthfirst $5 - $160 98%
Healthplus $5 - $160 98%
Hip $5 - $8,427 98%
Medicare (plans) $5 98%
Wellcare $5 98%
Oxford $6 117%
UnitedHealthcare $6 - $160 117%
Metroplus $7 - $160 137%
1199 $8 156%
Hamaspik $8 156%
Cigna $11 215%
Aetna $13 - $72 254%
Blue Cross Blue Shield $13 - $17 254%
Medicaid / KanCare $27 - $71 527%
Somos $29 - $96 566%
Multiplan $56 1094%
Amida $76 - $78 1484%
Magnacare $13,453 - $25,798 262754%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 First Avenue, New York, NY 10016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals