CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Blount Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Blount Memorial Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$17

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: $17 (332%)
Insurance Median: $7 (137%)
Cash: $17 (332% 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
Medicaid / KanCare $2 - $7 39%
Golden Rule Insurance Company [2991] $3 59%
Oxford Health Plans [2992] $3 59%
UnitedHealthcare $3 - $6 59%
Blue Cross Blue Shield $4 - $5 78%
Cigna $4 - $7 78%
Mvp Health Care [3037] $4 78%
Humana $5 98%
Medicare (plans) $5 98%
Tricare $5 98%
Ambetter / Centene $8 156%
Consociate Health Contracted [4835] $11 215%
Fairos/Occunet Contracted [4837] $12 234%
Prisma Health Seniorcare Pace - Midlands [5400] $13 254%
Prisma Health Seniorcare Pace-Upstate [5200] $13 254%
Promise Health Plan Contracted [2401] $19 - $33 371%
Orangeburg Senior Helping Center Pace [5401] $22 430%
Bob Jones Univ-Pai [821] $33 645%
Preferred Administrators Contracted [2839] $38 742%
Atlantic Packaging Contracted [4833] $41 801%
Medcost [2940] $41 - $46 801%
Aps Healthcare System [2981] $44 859%
Multiplan/Phcs Contracted [2950] $49 957%
Aetna $50 977%
Meritain Health Contracted [2200] $50 977%
Nippon [2300] $50 977%
Vsp Vision Care [2986] $50 977%
First Health Contracted [2952] $51 996%
Furman Int/Allen University Student [2951] $51 996%
Quiktrip-First Health [3067] $51 996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals