CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Indiana Regional Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Indiana Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $34 (664%)
Insurance Median: $8 (156%)
Cash: $34 (664% of Medicare)
Ins. Median: $8 (156% 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
Highmark $3 - $16 59%
Highmark Wholecare $3 - $5 59%
Aetna $5 - $16 98%
Ambetter / Centene $5 - $9 98%
Amerihealth Caritas $5 - $8 98%
Cigna $5 - $16 98%
Geisinger Health Plan $5 - $8 98%
Humana $5 98%
Medicare (plans) $5 98%
Tricare $5 - $121 98%
United Mine Workers Of America $5 98%
UnitedHealthcare $5 - $48 98%
Upmc Health Plan $5 - $56 98%
Geisinger $7 - $14 137%
Pa Health And Wellness Commercial $7 - $14 137%
Department Of Human Services And Torrance State Hospital $42 - $76 820%
Premier Comp Solutions, Llc $59 - $109 1152%
Miscellaneous Commercial $66 - $121 1289%
Pa Workers Compensation $66 - $121 1289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals