CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: The University of Vermont Health Network - Champl

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $99
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at The University of Vermont Health Network - Champl is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.
Cash / Self-Pay
$99

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: $99 (1934%)
Insurance Median: $5 (98%)
Cash: $99 (1934% 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
Aetna $5 - $67 98%
Blue Cross Blue Shield $5 - $8 98%
Capital District Physicians' Health Plan $5 98%
Fidelis Care $5 98%
Humana $5 98%
Martins Point $5 98%
Mvp $5 - $79 98%
St. Regis $5 98%
UnitedHealthcare $5 - $76 98%
Veterans Affairs Community Care Network $5 98%
Highmark Blueshield $6 117%
Wellpath $8 156%
Emblem Health $79 1543%
Harvard Pilgrim $79 1543%
Magnacare $79 1543%
Coventry $89 1738%
Multiplan $94 1836%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 75 Beekman Street, Plattsburgh, NY 12901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals