CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Uh Cleveland Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $35
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 6.84x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Uh Cleveland Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 6.84x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $45 (879%)
Insurance Median: $35 (684%)
Cash: $45 (879% of Medicare)
Ins. Median: $35 (684% 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 684% of the Medicare baseline (a markup of 584%). 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
Blue Cross Blue Shield $2 - $37 39%
Aetna $5 - $49 98%
Cigna $5 - $37 98%
Devoted Health $5 98%
Humana $5 98%
Medical Mutual Of Ohio $5 - $39 98%
Molina $5 98%
Paramount $5 98%
Perennial Advantage Of Ohio $5 98%
Primetime Health Plan $5 98%
Summacare $5 - $42 98%
The Health Plan $5 - $40 98%
UnitedHealthcare $5 - $26 98%
Valor Health Plans $5 98%
Wellcare By Allwell $5 98%
University Health Employee Plan (Contigo) $7 137%
Ambetter / Centene $9 176%
Caresource $9 176%
Aultcare $10 195%
Amish Aid Community Plan $28 - $31 547%
Amish Church Fund And Workers Aid Plan $28 - $31 547%
Buckeye Plain Ministries $28 - $31 547%
Christian Healthcare Ministries $28 - $31 547%
Immergrun $28 - $31 547%
Sunrise Plain Communities $28 - $31 547%
Jp Farley $31 - $34 605%
Clarity $32 - $35 625%
Enterprise Group Planning $32 - $35 625%
Health Ohio Network $33 - $36 645%
Healthsmart $37 - $40 723%
Ohio Health Choice $37 - $56 723%
Medical Mutual Traditional/Health Ohio $40 - $43 781%
Beech Street $46 - $56 898%
Ohio Preferred Network $46 - $56 898%
First Health $47 - $51 918%
Century Health Network $48 - $53 938%
Private Healthcare System $49 - $53 957%
Configurenet $51 - $56 996%
Fortified Provider Network $51 - $56 996%
Multiplan $51 - $56 996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals