CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Lds Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $54
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 10.55x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Lds Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 10.55x the Medicare baseline. Located in 8Th Avenue and C Street, Salt Lake City, UT.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $178 (3477%)
Insurance Median: $54 (1055%)
Cash: $178 (3477% of Medicare)
Ins. Median: $54 (1055% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1055% of the Medicare baseline (a markup of 955%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $5 - $349 98%
American Health $5 98%
Blue Cross Blue Shield $5 - $312 98%
Donor Connect $5 - $106 98%
Health Partners Of Nevada $5 98%
Health Plan Of Nevada $5 - $123 98%
Healthy U $5 98%
Humana $5 98%
Molina $5 - $337 98%
Selecthealth $5 - $208 98%
Southwest Behavioral Health $5 98%
Triwest $5 98%
UnitedHealthcare $5 - $349 98%
Intermountain Caregiver Plan $10 - $198 195%
Emi $34 - $222 664%
Deseret Mutual $36 - $238 703%
Awh Connected $40 - $265 781%
Cigna $40 - $349 781%
Byu Risk Management $44 - $300 859%
Corporation Of The President $44 - $300 859%
Emi Health $44 - $285 859%
Pehp $44 - $365 859%
Wcf Insurance $44 - $300 859%
Byu Athletics $45 - $295 879%
Campbell Scientific $45 - $295 879%
Corvel Corporation $45 - $295 879%
Franklin County $45 - $295 879%
Ifit $45 - $295 879%
Juniper Systems $45 - $295 879%
Lw Miller $45 - $295 879%
Managed Care Admin $45 - $320 879%
Tanner Llc $45 - $295 879%
Utah Tech $45 - $295 879%
Injury Care Of Nevada $47 - $308 918%
Prodegi Corp Benefit $52 - $337 1016%
Springtide $52 - $341 1016%
Uofu $52 - $337 1016%
Altius Mhnet Behavioral Health $54 - $349 1055%
First Choice $54 - $349 1055%
Global Excel $54 - $349 1055%
Medcare International $54 - $349 1055%
Motivhealth $54 - $349 1055%
Utah Behavioral Health Network $54 - $349 1055%
Wise Network $54 - $349 1055%
Hygeia Corporation $57 - $369 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8Th Avenue and C Street, Salt Lake City, UT 84143
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals