CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Tristar Ashland City Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $626
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Tristar Ashland City Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $626. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.
Cash / Self-Pay
$626

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: $626 (12227%)
Insurance Median: $7 (137%)
Cash: $626 (12227% 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
Wellpoint $2 39%
Aetna $4 - $313 78%
Ambetter / Centene $5 - $6 98%
American Health Advantage $5 98%
Bright Health $5 - $6 98%
Devoted Health Plan $5 98%
Evergreen Hmo $5 98%
Healthspring $5 98%
Humana $5 - $157 98%
Sarah Cannon Research $5 98%
United $5 - $282 98%
Wellcare $5 98%
Zing $5 98%
Atrio Golden Times $6 117%
Signature Advantage $6 117%
Blue Cross Blue Shield $7 - $2,000 137%
Prime Health $7 137%
Corvel Corporation $8 156%
Novanet $8 156%
Cigna $9 - $195 176%
Oscar $15 293%
Kentucky Labor Cabinet $115 2246%
Apex Health $119 2324%
Nhc Advantage, Inc. $119 2324%
Pruitt Health (Allyalign) $119 2324%
Amerigroup $194 3789%
Bgfh Singlesource $313 - $532 6113%
Multiplan $344 6719%
Southern Health Partners $376 7344%
Employers Health Network $438 8555%
Odom'S Tn Pride Sausage $470 9180%
Beech Street $576 11250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 313 North Main St, Ashland City, TN 37015
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Rural Emergency Hospital