CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Trident Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Trident Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$43

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: $43 (840%)
Insurance Median: $7 (137%)
Cash: $43 (840% 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
Blue Choice Health Plan $3 59%
Blue Cross Blue Shield $3 - $41 59%
Humana $4 - $32 78%
Absolute Total Care $5 - $9 98%
Advantage Hospice $5 98%
Aetna $5 - $13 98%
Agape Hospice $5 98%
Arcadian $5 98%
Boldage Pace $5 98%
Clover $5 98%
Companion $5 98%
Devoted Health $5 98%
Eon Health $5 98%
Molina $5 - $15 98%
Odyssey Hospice $5 98%
United $5 - $19 98%
United Behavioral Health $5 98%
Wellcare $5 98%
Cigna $6 117%
Universal Healthcare Group $6 117%
Blue Choice $7 137%
Corvel Corporation $7 137%
Employer'S Health Network $7 137%
Prime Health $7 - $37 137%
Heritage Summit $8 156%
Nhc Advantage $8 156%
Pruitt Health $8 156%
Seven Corners $9 176%
Select Health $10 195%
Naphcare $11 215%
Medcost $16 - $24 313%
Employers Health Network $19 371%
Sc State Employees $19 371%
Occunet $22 430%
Vocational Rehab $23 449%
First Health $31 605%
Mhnet $32 625%
Evernorth $34 664%
Multiplan $37 723%
Novanet $39 762%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals