CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Mercy Medical Center
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $5
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Mercy Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 1000 North Village Avenue, Rockville Centre, NY.
Cash / Self-Pay
Unavailable
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%)
Insurance Median: $5 (98%)
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
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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 - $7 | 98% |
| Affinity Health Plan | $5 - $11 | 98% |
| Agewell New York | $5 | 98% |
| Beacon Health Options | $5 - $7 | 98% |
| Beacon Health Strategies | $5 - $7 | 98% |
| Blue Cross Blue Shield | $5 - $19 | 98% |
| Centerlight Healthcare | $5 | 98% |
| Centers Plan For Healthy Living | $5 | 98% |
| Elderplan Inc. | $5 | 98% |
| Emblem Health | $5 - $12 | 98% |
| Fidelis Care New York | $5 - $11 | 98% |
| Health First | $5 - $12 | 98% |
| Health Plus | $5 - $11 | 98% |
| Healthspring | $5 | 98% |
| Humana | $5 | 98% |
| Independent Health | $5 | 98% |
| Liberty Health | $5 | 98% |
| Longevity Health Plan | $5 | 98% |
| Medicaid / KanCare | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Mvp Health Plans | $5 - $13 | 98% |
| Orthonet - Uniformed Services Family Health Plan | $5 | 98% |
| Partners Health Plan | $5 | 98% |
| Pmc | $5 | 98% |
| Senior Whole Health | $5 | 98% |
| Surest | $5 | 98% |
| Tricare | $5 | 98% |
| UnitedHealthcare | $5 - $19 | 98% |
| Universal Healthcare | $5 | 98% |
| Us Family Health Plan | $5 | 98% |
| Veterans Affairs | $5 | 98% |
| Wellcare Health Plan Inc | $6 | 117% |
| Mail Handlers Benefit Plan | $7 | 137% |
| Meritain Health | $7 | 137% |
| Nippon Life Insurance Company Of America | $7 | 137% |
| Salvation Army | $7 | 137% |
| Zadroga | $7 | 137% |
| Centivo | $8 - $13 | 156% |
| American Plan Administrators | $12 | 234% |
| Amerihealth Administrators | $12 | 234% |
| Benefit Services | $12 | 234% |
| Ghi Cbp Ny City Employee Alternate | $12 | 234% |
| International Benefit Administrator | $12 | 234% |
| Ultra Benefits Inc. | $12 | 234% |
| Apwu | $13 | 254% |
| Brighton | $13 - $94 | 254% |
| Cigna | $13 - $87 | 254% |
| Daniel H Cook | $13 | 254% |
| Nalc | $13 | 254% |
| Samba | $13 | 254% |
| Self Pay | $19 | 371% |
| Local 1199 | $32 | 625% |
| Oscar Health | $55 | 1074% |
| Allied Wellfare Fund | $87 | 1699% |
| American Group Administrators | $87 | 1699% |
| Bakery & Confectionery Union | $87 | 1699% |
| Comprehensive Benefits Consultant | $87 | 1699% |
| Guardian Life Insurance Company Of America | $87 | 1699% |
| Maloney And Assoc | $87 | 1699% |
| Multiplan | $87 | 1699% |
| Performax | $87 | 1699% |
| Phcs | $87 | 1699% |
| Pomco | $87 | 1699% |
| Tpa Inc | $87 | 1699% |
| Unicare | $87 | 1699% |
| United Employees Health Plan | $87 | 1699% |
| Coventry | $99 - $107 | 1934% |
| Magellan | $107 | 2090% |
| Galaxy | $121 | 2363% |
| Three Rivers Provider Network | $121 | 2363% |
| Aither Health | $134 | 2617% |
| Alpha Care | $134 | 2617% |
| Dentaquest | $134 | 2617% |