CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Fostoria Community Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $31
Cash Discount Price: $38
vs. Medicare Baseline: 6.05x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Fostoria Community Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 6.05x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $38 (742%)

Insurance Median: $31 (605%)

Cash: $38 (742% of Medicare)

Ins. Median: $31 (605% 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 605% of the Medicare baseline (a markup of 505%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Meridian Health Plan Of Mi	$3	59%
Blue Cross Blue Shield	$5 - $38	98%
Buckeye Community Health Plan	$5 - $17	98%
Health Alliance Plan	$5 - $44	98%
Health Value Management	$5 - $13	98%
Paramount Health Care	$5 - $31	98%
Aetna	$6 - $40	117%
Buckeye Community Health Plan Inc	$6 - $21	117%
Dayton Area Health Plan Dba Caresource	$7 - $24	137%
UnitedHealthcare	$7 - $35	137%
Veterans Affairs	$13	254%
Amerihealth	$18	352%
Medical Mutual Of Ohio	$33 - $35	645%
Frontpath Health Coalition	$34	664%
Ohio Health Choice	$38	742%
Ohio Ppo Connect	$38 - $44	742%
Connecticut General Life Insurance Company	$47	918%
Health Ohio Network	$47	918%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $38.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fostoria Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.