CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Cedar City Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $51
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 9.96x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Cedar City Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.96x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $151 (2949%)
Insurance Median: $51 (996%)
Cash: $151 (2949% of Medicare)
Ins. Median: $51 (996% 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 996% of the Medicare baseline (a markup of 896%). 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
Health Choice $4 - $310 78%
Health Plan Of Nevada $4 - $310 78%
Healthy U $4 - $310 78%
Molina $4 - $331 78%
Selecthealth $4 - $314 78%
Aetna $5 - $336 98%
American Health $5 98%
Blue Cross Blue Shield $5 - $331 98%
Health Partners Of Nevada $5 98%
Humana $5 98%
Southwest Behavioral Health $5 98%
Triwest $5 98%
UnitedHealthcare $5 - $314 98%
Corporation Of The President $40 - $262 781%
Corvel Corporation $40 - $262 781%
Injury Care Of Nevada $40 - $262 781%
Wcf Insurance $40 - $262 781%
Byu Risk Management $46 - $297 898%
Awh Connected $48 - $317 938%
Byu Athletic Department $48 - $314 938%
Campbell Scientific $48 - $314 938%
Deseret Mutual $48 - $314 938%
Emi $48 - $314 938%
Emi Health $48 - $314 938%
Franklin County $48 - $314 938%
Global Excel $48 - $314 938%
Ifit $48 - $314 938%
Juniper Systems $48 - $314 938%
Lw Miller $48 - $314 938%
Managed Care Admin $48 - $314 938%
Medcare International $48 - $314 938%
Motivhealth $48 - $314 938%
Pehp $48 - $331 938%
Prodegi Corp Benefit $48 - $314 938%
Tanner Llc $48 - $314 938%
Uofu $48 - $331 938%
Utah Tech $48 - $314 938%
Wise Network $48 - $314 938%
Cigna $51 - $331 996%
Health Utah $51 - $331 996%
Hygeia Corporation $51 - $331 996%
Springtide $51 - $331 996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals