CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Intermountain Health Fillmore Community 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 Intermountain Health Fillmore Community 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 674 South Highway 99, Fillmore, 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
Aetna $5 - $335 98%
American Health $5 - $160 98%
Blue Cross Blue Shield $5 - $331 98%
Health Partners Of Nevada $5 - $160 98%
Health Plan Of Nevada $5 - $310 98%
Healthy U $5 - $310 98%
Humana $5 - $160 98%
Molina $5 - $331 98%
Selecthealth $5 - $331 98%
UnitedHealthcare $5 - $331 98%
Triwest $24 - $154 469%
Injury Care Of Nevada $40 - $262 781%
Byu Risk Management $46 - $297 898%
Corporation Of The President $46 - $297 898%
Corvel Corporation $46 - $297 898%
Wcf Insurance $46 - $297 898%
Awh Connected $51 - $335 996%
Byu Athletics $51 - $331 996%
Campbell Scientific $51 - $331 996%
Cigna $51 - $331 996%
Deseret Mutual $51 - $331 996%
Emi $51 - $331 996%
Emi Health $51 - $331 996%
Franklin County $51 - $331 996%
Global Excel $51 - $331 996%
Health Utah $51 - $331 996%
Hygeia Corporation $51 - $331 996%
Ifit $51 - $331 996%
Juniper Systems $51 - $331 996%
Lw Miller $51 - $331 996%
Managed Care Admin $51 - $331 996%
Medcare International $51 - $331 996%
Motivhealth $51 - $331 996%
Pehp $51 - $331 996%
Prodegi Corp Benefit $51 - $331 996%
Springtide $51 - $331 996%
Tanner Llc $51 - $331 996%
Uofu $51 - $331 996%
Utah Tech $51 - $331 996%
Wise Network $51 - $331 996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals