CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Ohio Valley Surgical Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $21,590
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 4216.80x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Ohio Valley Surgical Hospital is $21,590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 4216.80x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$21,590

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: $46 (898%)
Insurance Median: $21,590 (421680%)
Cash: $46 (898% of Medicare)
Ins. Median: $21,590 (421680% 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 421680% of the Medicare baseline (a markup of 421580%). 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 $3 - $73,197 59%
UnitedHealthcare $6 - $32,489 117%
Aetna $7 - $39,629 137%
Geha $7 - $39,629 137%
Genworth $7 - $39,629 137%
Mail Handlers $7 - $39,629 137%
Meritain $7 - $39,629 137%
Meritain Heatlh $7 - $39,629 137%
Mhbp $7 - $39,629 137%
Ngs Coresource $7 - $39,629 137%
Nippon Life $7 - $39,629 137%
Pacific Source $7 - $39,629 137%
Personify Health $7 - $39,629 137%
Mmoh $34 - $21,590 664%
Mmo Cin. Hmo $35 - $48 684%
Mmoh (Supermed) $35 684%
Medicare (plans) $46 - $22,279 898%
Luminare Health $68 1328%
Medben $68 1328%
Ohio Health $68 1328%
Preferred Health $68 1328%
Aarp $21,590 421680%
Aarp Supplemental $21,590 421680%
American Continental Insurance $21,590 421680%
American Continental Life $21,590 421680%
American Republic $21,590 421680%
American Retirement $21,590 421680%
Aultcare Primetime Health Plan $21,590 421680%
Bankers Fidelity $21,590 421680%
Bankers Life And Casualty $21,590 421680%
Central States $21,590 421680%
Champus $21,590 421680%
Cigna $21,590 - $34,863 421680%
Communicare Advantage $21,590 421680%
Everest $21,590 421680%
Gateway Health Plan $21,590 421680%
Medigold $21,590 421680%
Molina $21,590 421680%
Molina Dual Mcr $21,590 421680%
Molina Marketplace $21,590 421680%
Molina Dual Mcr $21,590 421680%
Molina Mcr $21,590 421680%
Molina Mcr Mcd $21,590 421680%
Molina Mcr+Mcd $21,590 421680%
Patient No Pay $21,590 421680%
Prosperity Supplement $21,590 421680%
Self Pay Imaging $21,590 421680%
Wellcare By Allwell $21,590 421680%
Wraparound Pl Supp $21,590 421680%
Humana $22,605 441504%
The Health Plan $22,670 442773%
Devoted Health $25,995 507715%
Employer Direct $27,489 536895%
Golden Rule $31,917 623379%
Medica $31,917 623379%
Oxford $31,917 623379%
Shl $31,917 623379%
Surest $31,917 623379%
Ushealth $31,917 623379%
Caresource $32,385 632520%
Caresourse $32,385 632520%
Medicaid / KanCare $32,385 632520%
Healthgram $34,863 680918%
Nalc $34,863 680918%
Samba $34,863 680918%
Sbma $34,863 680918%
Unified Group $34,863 680918%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals