CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Colleton Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Colleton Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $226 (4414%)
Insurance Median: $7 (137%)
Cash: $226 (4414% of Medicare)
Ins. Median: $7 (137% 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
Humana $4 - $212 78%
Absolute Total Care $5 - $42 98%
Aetna $5 - $136 98%
Arcadian $5 98%
Blue Cross Blue Shield $5 - $223 98%
Boldage Pace $5 98%
Clover $5 98%
Devoted Health $5 98%
Eon Health $5 98%
Molina $5 - $15 98%
Odyssey Hospice $5 98%
United $5 - $125 98%
United Behavioral Health $5 98%
Wellcare $5 98%
Align Networks $6 117%
Cigna $6 - $152 117%
Universal Healthcare Group $6 117%
Blue Choice $7 137%
Corvel Corporation $7 137%
Employer'S Health Network $7 137%
Prime Health $7 - $200 137%
Heritage Summit $8 156%
Seven Corners $9 176%
Select Health $10 195%
Medical Development $11 215%
Naphcare $11 215%
Sc State Employees $19 - $21 371%
Blue Choice Health Plan $33 - $35 645%
Nhc Advantage $45 879%
Pruitt Health $45 879%
Employers Health Network $106 2070%
Value Option $118 2305%
Vocational Rehab $127 2480%
Medcost $133 - $172 2598%
Mhnet $176 3438%
Evernorth $188 3672%
Multiplan $200 3906%
North American Administrators $200 3906%
First Health $212 4141%
Novanet $212 4141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals