CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Prisma Health Greenville Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Prisma Health Greenville Memorial Hospital is $6. 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 1.17x the Medicare baseline. Located in 701 Grove Road, Greenville, SC.
Cash / Self-Pay
$41

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: $41 (801%)
Insurance Median: $6 (117%)
Cash: $41 (801% 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
Tricare $4 78%
Aetna $5 - $50 98%
Blue Cross Blue Shield $5 - $19 98%
Champva [3049] $5 98%
Cigna $5 - $29 98%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $5 98%
Deseret Mutual Ins Co [3066] $5 98%
Generic Skilled Nursing [3196] $5 98%
Golden Rule Insurance Company [2991] $5 98%
Healthy Conn Prime-First Choice Vip Care [5300] $5 98%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $5 98%
Hospice Contracted [1500] $5 98%
Hospice Non Contracted [3190] $5 98%
Humana $5 - $7 98%
Medicare (plans) $5 - $7 98%
Oxford Health Plans [2992] $5 98%
Triwest Healthcare Alliance Vcp [902] $5 98%
UnitedHealthcare $5 - $6 98%
Va Community Care Network-Vaccn [903] $5 98%
Veterans Administration [3194] $5 98%
Zzumr-Salt Lake City Ut [3169] $5 98%
Healthy Conn Prime-Molina Healthcare [5330] $6 117%
Medicaid / KanCare $6 - $7 117%
First Choice Benefits Mgmt [3074] $7 137%
Workers Comp [600] $7 137%
Bluechoice [810] $8 - $14 156%
Ambetter / Centene $9 176%
Planned Administrators [820] $13 254%
Prisma Health Seniorcare Pace - Midlands [5400] $15 293%
Prisma Health Seniorcare Pace-Upstate [5200] $15 293%
Scdc-Sc Dept Of Corrections [7232] $19 371%
Promise Health Plan Contracted [2401] $22 - $38 430%
Orangeburg Senior Helping Center Pace [5401] $25 488%
Evernorth Behavioral Contracted [2982] $29 566%
Mvp Health Care [3037] $29 566%
Bob Jones Univ-Pai [821] $38 742%
Magellan Behavioral Contracted [3198] $38 742%
Meritain Health Contracted [2200] $40 - $50 781%
Preferred Administrators Contracted [2839] $44 859%
Atlantic Packaging Contracted [4833] $47 918%
Medcost [2940] $47 - $52 918%
Aps Healthcare System [2981] $50 977%
Multiplan/Phcs Contracted [2950] $56 1094%
Vsp Vision Care [2986] $57 1113%
First Health Contracted [2952] $59 1152%
Furman Int/Allen University Student [2951] $59 1152%
Quiktrip-First Health [3067] $59 1152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Grove Road, Greenville, SC 29605
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals