CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Carilion Tazewell Community Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $99
Cash Discount Price: $55
vs. Medicare Baseline: 19.34x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Carilion Tazewell Community Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 19.34x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

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: $55 (1074%)

Insurance Median: $99 (1934%)

Cash: $55 (1074% of Medicare)

Ins. Median: $99 (1934% 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 1934% of the Medicare baseline (a markup of 1834%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$5	98%
Corvel	$5	98%
Sentara Health Plan	$5 - $98	98%
Abh Of Va (Formerly Coventry)	$6	117%
Abh Of Wva (Formerly Coventry)	$6	117%
Humana	$6	117%
UnitedHealthcare	$6 - $129	117%
Aetna	$80 - $105	1563%
Gateway - Tier 3	$87	1699%
Vhn - Ultra	$98	1914%
Cigna	$100 - $107	1953%
Connecticare	$111	2168%
Vhn - Plus	$122	2383%
Gateway - Tier 2	$126	2461%
Vhn	$126	2461%
Integrated Health Plan	$134	2617%
Vhn - Link	$142	2773%
Gateway - Tier 1	$150	2930%
Vhn - Secondary Payors	$150	2930%
National Provider Network	$152	2969%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $55.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Carilion Tazewell Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.