CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Curry General Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $66
Cash Discount Price: $69
vs. Medicare Baseline: 12.89x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Curry General Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 12.89x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $69 (1348%)

Insurance Median: $66 (1289%)

Cash: $69 (1348% of Medicare)

Ins. Median: $66 (1289% 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 1289% of the Medicare baseline (a markup of 1189%). 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
Medicaid / KanCare	$4 - $43	78%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$5	98%
Blue Cross Blue Shield	$6 - $69	117%
Tricare	$21	410%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$30	586%
Medicare (plans)	$30 - $45	586%
Department Of Corrections [1051]	$45	879%
Coordinated Care Commercial [1649]	$59	1152%
Moda [512]	$59 - $62	1152%
Pacificsource [1148]	$59	1152%
Multiplan [1131]	$63	1230%
Asuris [1258]	$66	1289%
First Choice Health Admin [1294]	$66	1289%
First Choice [528]	$66	1289%
Operating Engineers [1144]	$66	1289%
Regence [1351]	$66 - $69	1289%
Cigna	$68 - $69	1328%
Coventry First Health Managed Care [1774]	$68	1328%
Coventry Health [1046]	$68	1328%
Providence Health Plan Plm Alt [1692]	$68	1328%
Providence Health Plan [567]	$68	1328%
Aetna	$69	1348%
Employee Bene Admin Mgmt [525]	$69	1348%
Geha [531]	$69	1348%
Mailhandlers Benefit Pln [547]	$69	1348%
Meritain [550]	$69	1348%
Nw Sheet Metal Workers [597]	$69	1348%
Trustmark [524]	$69	1348%
UnitedHealthcare	$69	1348%
Zenith Administrators [586]	$69	1348%
Allcare Alt [2598]	$300	5859%
Allcare [1695]	$300	5859%

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 $69.
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 Curry General 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.