CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $32
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 6.25x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Uhhs Memorial Hospital of Geneva is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 6.25x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $42 (820%)
Insurance Median: $32 (625%)
Cash: $42 (820% of Medicare)
Ins. Median: $32 (625% 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 625% of the Medicare baseline (a markup of 525%). 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 - $54 39%
University Health Employee Plan (Contigo) $7 137%
Aetna $11 - $21 215%
Cigna $11 - $43 215%
Devoted Health $11 - $12 215%
Humana $11 - $12 215%
Medical Mutual Of Ohio $11 - $58 215%
Molina $11 - $12 215%
Paramount $11 - $12 215%
Primetime Health Plan $11 - $12 215%
Summacare $11 - $30 215%
The Health Plan $11 - $38 215%
UnitedHealthcare $11 - $67 215%
Wellcare By Allwell $11 - $12 215%
Perennial Advantage Of Ohio $12 234%
Valor Health Plans $12 234%
Ambetter / Centene $20 - $21 391%
Caresource $20 - $21 391%
Amish Aid Community Plan $25 - $27 488%
Amish Church Fund And Workers Aid Plan $25 - $27 488%
Buckeye Plain Ministries $25 - $27 488%
Clarity $26 - $28 508%
Jp Farley $26 - $27 508%
Christian Healthcare Ministries $28 - $29 547%
Immergrun $28 - $29 547%
Sunrise Plan Communities $28 - $29 547%
Aultcare $30 - $32 586%
Healthsmart $36 - $38 703%
Ohio Health Choice $36 - $52 703%
Beech Street $44 - $52 859%
Ohio Preferred Network $44 - $52 859%
First Health $46 - $48 898%
Century Health Network $47 - $49 918%
Private Healthcare System $47 - $50 918%
Configurenet $50 - $52 977%
Fortified Provider Network $50 - $52 977%
Multiplan $50 - $52 977%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals