CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Tristar Skyline Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $502
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Tristar Skyline Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $502. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.
Cash / Self-Pay
$502

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: $502 (9805%)
Insurance Median: $6 (117%)
Cash: $502 (9805% 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
Wellpoint $2 39%
Aetna $4 - $251 78%
Alive Hospice $5 98%
Ambetter / Centene $5 - $6 98%
American Health Advantage $5 98%
Amerigroup $5 98%
Blue Cross Blue Shield $5 - $29 98%
Bright Health $5 - $6 98%
Devoted Health Plan $5 98%
Evergreen Hmo $5 98%
Healthspring $5 98%
Humana $5 - $326 98%
Odyssey Healthcare $5 98%
Sarah Cannon Research $5 98%
Signature Advantage $5 98%
United $5 - $226 98%
Wellcare $5 98%
Zing $5 98%
Atrio Golden Times $6 117%
Prime Health $7 - $442 137%
Corvel Corporation $8 156%
Novanet $8 156%
Cigna $9 - $164 176%
Oscar $15 293%
Kentucky Labor Cabinet $92 1797%
Nhc Advantage, Inc. $95 1855%
Pruitt Health (Allyalign) $95 1855%
Centurion $207 4043%
Bgfh Singlesource $251 - $427 4902%
Employers Health Network $351 6855%
Mhnet $376 7344%
Odom'S Tn Pride Sausage $376 7344%
Multiplan $412 8047%
Beech Street $442 8633%
Triwest Healthcare $492 9609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3441 Dickerson Pike, Nashville, TN 37207
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals