CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $48
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 9.38x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Intermountain Health Heber Valley Hospital is $48. 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 9.38x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $48 (938%)
Cash: $151 (2949% of Medicare)
Ins. Median: $48 (938% 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 938% of the Medicare baseline (a markup of 838%). 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 - $308 98%
American Health $5 - $105 98%
Blue Cross Blue Shield $5 - $309 98%
Health Partners Of Nevada $5 - $105 98%
Health Plan Of Nevada $5 - $310 98%
Healthy U $5 - $310 98%
Humana $5 - $105 98%
Molina $5 - $310 98%
Selecthealth $5 - $310 98%
UnitedHealthcare $5 - $309 98%
Triwest $18 - $264 352%
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%
Cigna $46 - $309 898%
Medcare International $46 - $297 898%
Springtide $46 - $297 898%
Uofu $46 - $297 898%
Awh Connected $47 - $312 918%
Byu Athletics $47 - $303 918%
Campbell Scientific $47 - $303 918%
Deseret Mutual $47 - $309 918%
Emi $47 - $309 918%
Emi Health $47 - $303 918%
Franklin County $47 - $303 918%
Ifit $47 - $303 918%
Intermountain Caregiver Plan $47 - $309 918%
Juniper Systems $47 - $303 918%
Lw Miller $47 - $303 918%
Managed Care Admin $47 - $303 918%
Motivhealth $47 - $303 918%
Pehp $47 - $314 918%
Prodegi Corp Benefit $47 - $303 918%
Tanner Llc $47 - $303 918%
Utah Tech $47 - $303 918%
Wise Network $47 - $303 918%
Global Excel $48 - $314 938%
Health Utah $48 - $314 938%
Hygeia Corporation $48 - $314 938%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals