CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Ahn Wexford Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Ahn Wexford Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 12351 Perry Highway, Wexford, PA.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $33 (645%)
Insurance Median: $5 (98%)
Cash: $33 (645% of Medicare)
Ins. Median: $5 (98% 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 $2 - $9 39%
Cigna $4 - $6 78%
Aetna $5 - $16 98%
American Health Plans $5 98%
Amerihealth $5 - $6 98%
Highmark Wholecare $5 - $9 98%
Humana $5 98%
Life Pittsburgh $5 98%
Martin'S Point $5 - $15 98%
Medicare (plans) $5 98%
UnitedHealthcare $5 - $10 98%
Jefferson Health Plans $6 117%
Medical Mutual $6 117%
Molina $6 117%
Geisinger $10 195%
Pennsylvania Health And Wellness $10 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12351 Perry Highway, Wexford, PA 15090
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals