CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Prisma Health Greer Memorial Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$41

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: $41 (801%)
Insurance Median: $7 (137%)
Cash: $41 (801% 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 - $7 78%
Tricare $4 - $5 78%
Absolute Total Care Prime $5 98%
Aetna $5 - $55 98%
Blue Choice Healthplan Of Sc $5 - $6 98%
Blue Cross Blue Shield $5 - $21 98%
Choicecare Network $5 - $54 98%
Cigna $5 - $50 98%
Liberty Advantage $5 98%
Medicare (plans) $5 - $19 98%
Select Health $5 - $7 98%
UnitedHealthcare $5 98%
Veterans Administration $5 98%
Windsor Health Plan $5 98%
Bluechoice Healthplan Of Sc $6 - $13 117%
Medicaid / KanCare $6 - $7 117%
Molina $6 - $7 117%
Sc Workers Compensation $7 137%
Wellpath Select Inc $7 137%
Celtic Insurance Company $9 176%
Prisma Health Seniorcare Pace-Upstate $15 293%
Promise Health Plan $32 625%
Value Options $32 625%
Preferred Care, Inc $44 859%
Chp Direct Supermed Network $45 879%
Atlantic Packaging $47 918%
Medcost $47 918%
Aps Healthcare Bethesda Inc $50 977%
Medcost Preferred $52 1016%
Multiplan $56 1094%
Companion Benefit Alternatives $63 1230%
Miscellaneous $63 1230%
Self Pay $63 1230%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1413 John B White Sr Blvd Suite D, Spartanburg, SC 29306
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals