CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Jefferson Lansdale Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Jefferson Lansdale Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (117%)
Insurance Median: $6 (117%)
Cash: $6 (117% of Medicare)
Ins. Median: $6 (117% 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.

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
Ibc $2 - $32 39%
Blue Cross Blue Shield $4 - $5 78%
Medicare (plans) $4 - $6 78%
Aetna $5 - $13 98%
Cigna $5 - $8 98%
Devoted Health Participation $5 98%
Humana $5 98%
Innovage $5 98%
Inspira Life $5 98%
Jefferson Health Plan Aca Qhp Exchange $5 98%
Keystone First Vip Choice $5 98%
Point Of Comfort Refugee Resettlement $5 98%
Provider Partners Health Plan $5 98%
St Agnes $5 98%
Tricare $5 98%
UnitedHealthcare $5 - $8 98%
Allwell Pa Health_Wellness Ma $6 117%
Highmark Wholecare Gateway $6 117%
Ibc Employee Benefit $6 117%
Ibc Main Line Health $6 117%
Perennial $6 117%
Ambetter / Centene $7 137%
Keystone First $8 156%
Naphcare $8 156%
Pa Health_Wellness Chc $8 156%
Upmc Commercial $8 156%
Medicaid / KanCare $9 - $11 176%
Highmark $12 - $14 234%
Geisinger Health Plan $21 410%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Medical Campus Drive, Lansdale, PA 19446
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals