CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Tristar Northcrest Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Tristar Northcrest Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.
Cash / Self-Pay
$214

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: $214 (4180%)
Insurance Median: $5 (98%)
Cash: $214 (4180% 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 39%
Aetna $4 - $107 78%
Alive Hospice $5 98%
Ambetter / Centene $5 - $6 98%
American Health Advantage $5 98%
Amerigroup $5 98%
Blue Cross Blue Shield $5 - $7 98%
Bright Health $5 - $6 98%
Devoted Health Plan $5 98%
Evergreen Hmo $5 98%
Healthspring $5 98%
Humana $5 - $20 98%
Molina $5 98%
United $5 - $96 98%
Wellcare $5 - $7 98%
Zing $5 98%
Atrio Golden Times $6 117%
Prime Health $7 137%
Novanet $8 156%
Cigna $9 - $63 176%
Oscar $15 293%
Nhc Advantage, Inc. $41 801%
City Of Springfield $139 2715%
Multiplan $167 - $176 3262%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals