CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Lake Health Beachwood Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $36
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 7.03x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Lake Health Beachwood Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 7.03x the Medicare baseline. Located in 25501 Chagrin Boulevard, Beachwood, OH.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $48 (938%)
Insurance Median: $36 (703%)
Cash: $48 (938% of Medicare)
Ins. Median: $36 (703% 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 703% of the Medicare baseline (a markup of 603%). 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
Cigna $3 - $5 59%
Aetna $5 - $49 98%
Blue Cross Blue Shield $5 98%
Devoted Health $5 98%
Humana $5 98%
Medical Mutual Of Ohio $5 98%
Molina $5 - $6 98%
Paramount $5 98%
Perennial Advantage Of Ohio $5 98%
Primetime Health Plan $5 98%
Summacare $5 - $35 98%
The Health Plan $5 98%
UnitedHealthcare $5 - $6 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%
Amish Aid Community Plan $26 - $33 508%
Amish Church Fund And Workers Aid Plan $26 - $33 508%
Buckeye Plain Ministries $26 - $33 508%
Clarity $27 - $35 527%
Jp Farley $27 - $35 527%
Christian Healthcare Ministries $28 - $36 547%
Immergrun $28 - $36 547%
Sunrise Plan Communities $28 - $36 547%
Aultcare $31 - $40 605%
Healthsmart $37 - $47 723%
Ohio Health Choice $37 - $65 723%
Beech Street $46 - $65 898%
Ohio Preferred Network $46 - $65 898%
First Health $47 - $60 918%
Century Health Network $48 - $61 938%
Private Healthcare System $49 - $62 957%
Configurenet $51 - $65 996%
Fortified Provider Network $51 - $65 996%
Multiplan $51 - $65 996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25501 Chagrin Boulevard, Beachwood, OH 44122
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals