CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Intermountain Health Riverton Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $52
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 10.16x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Intermountain Health Riverton Hospital is $52. 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 10.16x the Medicare baseline. Located in 3741 West 12600 South, Riverton, UT.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $52 (1016%)
Cash: $178 (3477% of Medicare)
Ins. Median: $52 (1016% 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 1016% of the Medicare baseline (a markup of 916%). 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
Donor Connect $2 - $104 39%
Health Plan Of Nevada $4 - $123 78%
Healthy U $4 - $5 78%
Selecthealth $4 - $208 78%
Aetna $5 - $349 98%
American Health $5 98%
Blue Cross Blue Shield $5 - $312 98%
Health Partners Of Nevada $5 98%
Humana $5 98%
Molina $5 - $6 98%
Triwest $5 98%
UnitedHealthcare $5 - $349 98%
Intermountain Caregiver Plan $10 - $198 195%
Emi $34 - $222 664%
Deseret Mutual $36 - $236 703%
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%
Tanner Llc $45 - $295 879%
Utah Tech $45 - $295 879%
Injury Care Of Nevada $47 - $308 918%
Managed Care Admin $49 - $320 957%
Prodegi Corp Benefit $52 - $337 1016%
Springtide $52 - $341 1016%
Uofu $52 - $337 1016%
Global Excel $54 - $349 1055%
Medcare International $54 - $349 1055%
Motivhealth $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: 3741 West 12600 South, Riverton, UT 84065
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals