CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Roane Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Roane Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 8045 Roane Medical Center Drive, Harriman, TN.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $16 (313%)
Insurance Median: $5 (98%)
Cash: $16 (313% of Medicare)
Ins. Median: $5 (98% 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 - $5 39%
UnitedHealthcare $3 - $5 59%
Aetna $5 - $7 98%
Blue Cross Blue Shield $5 - $11 98%
Cigna $5 - $11 98%
Devoted Health $5 98%
Farm Bureau $5 98%
Humana $5 98%
Tricare $5 98%
Wellcare $5 98%
Ehn $23 449%
Correctional Medical Services $31 605%
Community Services Network $33 645%
Usa Managed Care Organization $36 703%
Novanet $38 742%
Direct Care America $41 801%
Medsave Usa $41 801%
National Provider Network $41 801%
Beech Street $43 840%
Ccn Managed Care $43 840%
Initial Group $45 879%
Galaxy Health Network $46 898%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8045 Roane Medical Center Drive, Harriman, TN 37748
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals