CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $23
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 4.49x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Oklahoma Heart Hospital, LLC is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 4.49x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$348

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $348 (6797%)
Insurance Median: $23 (449%)
Cash: $348 (6797% of Medicare)
Ins. Median: $23 (449% 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 449% of the Medicare baseline (a markup of 349%). 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
Aetna $5 - $281 98%
Blue Cross Blue Shield $5 - $169 98%
Cigna $5 - $169 98%
Geha $5 - $179 98%
Humana $5 - $169 98%
Medicare (plans) $5 - $174 98%
UnitedHealthcare $5 - $179 98%
Va Ccn $5 - $169 98%
Veterans Eval Services $5 - $169 98%
Ambetter / Centene $7 - $236 137%
Community Care $10 - $337 195%
The Kempton Group $13 - $422 254%
Healthcare Highways $16 - $37 313%
Healthscope $29 566%
Oscar Insurance Company $29 566%
Webtpa Chickasaw Nation Hch $29 566%
Webtpa Hobby Lobby Hch $33 645%
Coventry $37 723%
Global Health $39 762%
Sana Benefits $40 781%
Ufcw $40 781%
First Health Network $43 840%
Manhattan Life $43 840%
Phcs $43 840%
Preferred Community Choice $47 918%
Multiplan $56 1094%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4050 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals