CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Hillcrest Hospital Cushing

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $83
Cash Discount Price: $36
vs. Medicare Baseline: 16.21x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Hillcrest Hospital Cushing is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 16.21x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $36 (703%)

Insurance Median: $83 (1621%)

Cash: $36 (703% of Medicare)

Ins. Median: $83 (1621% 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 1621% of the Medicare baseline (a markup of 1521%). 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]	$30	586%
Healthcare Highways [2210]	$30 - $36	586%
Hooray Health [8000]	$30	586%
Lucent Health [6000]	$30	586%
Oncology Patient Assistance Programs [2295]	$30	586%
Oscar Insurance Company [7005]	$30	586%
Healthscope Benefits [2290]	$32	625%
UnitedHealthcare	$32 - $59	625%
Web Tpa [2115]	$36	703%
Cigna	$58	1133%
Healthpartners [1500]	$58	1133%
National Association Of Letter Carriers [1695]	$58	1133%
Pba [1775]	$58	1133%
Global Health [1430]	$74	1445%
First Health [1375]	$82 - $105	1602%
Multiplan [1680]	$82 - $105	1602%
Healthcare Solutions [1485]	$84	1641%
Community Care [1290]	$99	1934%
Fmh Benefit Services [1390]	$99	1934%
Group Resources [1455]	$99	1934%
Phcs [1780]	$99 - $105	1934%
Healthsmart [1505]	$101	1973%
Administrative Concepts [1005]	$105	2051%
Allied Benefit Systems Inc [1030]	$105	2051%
Allied National Global Care [1035]	$105	2051%
Gilsbar [1425]	$105	2051%
Healthnet [1495]	$105	2051%
Mutual Of Omaha [1685]	$105	2051%
New Era Life Insurance Company [1705]	$105	2051%
Pan American Life Insurance Co [1770]	$105	2051%
Trustmark [2030]	$105	2051%
Universal Fidelity [2085]	$105	2051%
Pending Ssi [1616]	$119	2324%

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 $36.
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 Hospital Cushing 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.