CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Tennova Healthcare-Jefferson Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$29

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: $29 (566%)
Insurance Median: $5 (98%)
Cash: $29 (566% 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
Amerigroup $2 39%
Medicaid / KanCare $3 59%
UnitedHealthcare $3 - $131 59%
Aetna $5 - $84 98%
Blue Cross Blue Shield $5 - $27 98%
Humana $5 98%
Medicare (plans) $5 98%
Node Amerigroup Mcr Adv $5 98%
Node Bluecare Plus Tn Mcr Adv $5 98%
Node Champva $5 98%
Node Devoted Health Mcr Adv $5 98%
Node Farm Bureau Mcr Adv $5 98%
Node Healthspring Mcr Adv $5 98%
Node Hospice Non Par Agree $5 98%
Node Va $5 98%
Node Wellcare Mcr Adv $5 98%
Tennessee Breast And Cervical Program $5 98%
Tricare $5 98%
Veterans Eval Services $5 98%
Node Nhc Mcr Adv $6 117%
Node Us Dept Of Labor $6 117%
Three Rivers Work Comp Tn $6 117%
Cigna $8 156%
Novanet Work Comp Tn $8 156%
Occunet Work Comp Tn $8 156%
Tn Work Comp $8 156%
Ambetter / Centene $9 176%
Bluecare $10 - $11 195%
Point Comfort Underwriters $11 215%
Self Pay $29 566%
Multiplan Complementary $103 2012%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals