CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Physicians Regional Medical Center

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 Physicians Regional Medical Center 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 7565 Dannaher Way Powell, Powell, 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 - $5 39%
Amerigroup Community Care $2 39%
Medicaid / KanCare $3 59%
UnitedHealthcare $3 - $131 59%
Aetna $5 - $19 98%
Blue Cross Blue Shield $5 - $25 98%
Department Of Veterans Affairs $5 98%
Humana $5 98%
Medicare (plans) $5 98%
Node Bluecare Plus Tn Mcr Adv $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%
Tennessee Breast And Cervical Program $5 98%
Tennessee Breast And Cervical Screening Program $5 98%
Tricare $5 98%
Veterans Eval Services $5 98%
Wellcare $5 98%
Node Nhc Mcr Adv $6 117%
Node Us Dept Of Labor $6 117%
Us Department Of Labor $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%
Node Point Comfort Underwriters $9 176%
Self Pay $28 - $30 547%
Multiplan $71 - $93 1387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals