CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Hillcrest Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $219
Cash Discount Price: $116
vs. Medicare Baseline: 42.77x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Hillcrest Medical Center is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 42.77x the Medicare baseline. Located in 1120 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

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: $116 (2266%)

Insurance Median: $219 (4277%)

Cash: $116 (2266% of Medicare)

Ins. Median: $219 (4277% 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 4277% of the Medicare baseline (a markup of 4177%). 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
Black Lung [6055]	$96	1875%
Healthcare Highways [2210]	$96 - $149	1875%
Hooray Health [8000]	$96	1875%
Lucent Health [6000]	$96	1875%
Oncology Patient Assistance Programs [2295]	$96	1875%
Oscar Insurance Company [7005]	$96	1875%
Osma Health Network [2345]	$96	1875%
Healthscope Benefits [2290]	$123	2402%
UnitedHealthcare	$123	2402%
Resource One Administrators [2815]	$149	2910%
Web Tpa [2115]	$149	2910%
The Kempton Group Administrators [2905]	$174	3398%
National Association Of Letter Carriers [1695]	$200	3906%
Pba [1775]	$200	3906%
Medica [2910]	$219	4277%
Multiplan [1680]	$219 - $332	4277%
Employee Benefit Management Services [2445]	$282	5508%
Phcs [1780]	$282 - $332	5508%
Administrative Concepts [1005]	$332	6484%
Allied Benefit Systems Inc [1030]	$332	6484%
Allied National Global Care [1035]	$332	6484%
Healthcost Solutions [2415]	$332	6484%
Healthfirst [2395]	$332	6484%
Hometown Health [2155]	$332	6484%
Mayo Clinic Health Solutions [2280]	$332	6484%
Mutual Of Omaha [1685]	$332	6484%
New Era Life Insurance Company [1705]	$332	6484%
Pan American Life Insurance Co [1770]	$332	6484%
Planned Administrators Inc [2360]	$332	6484%
Trustmark [2030]	$332	6484%
Universal Fidelity [2085]	$332	6484%
Pending Ssi [1616]	$386	7539%

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 $116.
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 Hillcrest Medical Center 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.