CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Saratoga Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Saratoga Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$7

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: $7 (137%)
Insurance Median: $5 (98%)
Cash: $7 (137% 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
UnitedHealthcare $2 - $191 39%
Blue Shield Highmark $3 59%
Cdphp $4 - $50 78%
Fidelis $4 - $50 78%
Mvp $4 - $5 78%
Aetna $5 - $19 98%
Blue Cross Blue Shield $5 - $98 98%
Cigna $5 98%
Emblem $5 - $6 98%
Emblem Health Ghi $5 - $6 98%
Hamaspik $5 - $52 98%
Medicaid / KanCare $5 98%
Medicare (plans) $5 98%
Nascentia Health Options $6 117%
Tricare $6 117%
Blue Shield $9 - $14 176%
Empire Plan Nyship $10 - $159 195%
Multiplan $10 - $180 195%
Mvp Commercial $10 - $159 195%
Magnacare $13 - $201 254%
Mvp Essential Plan $22 - $44 430%
Mvp Govt Programs $22 430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals