CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Aurora Psychiatric Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $15
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 2.93x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Aurora Psychiatric Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 2.93x the Medicare baseline. Located in 1220 Dewey Ave, Wauwatosa, WI.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $38 (742%)
Insurance Median: $15 (293%)
Cash: $38 (742% of Medicare)
Ins. Median: $15 (293% 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 293% of the Medicare baseline (a markup of 193%). 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
UnitedHealthcare $4 - $63 78%
Aurora Caregiver $5 98%
Blue Cross Blue Shield $5 - $64 98%
Aetna $11 - $62 215%
Centivo $11 215%
Common Ground $11 215%
Health Payment Systems $13 254%
Quartz One $13 254%
Healthpartners $14 - $56 273%
Hs Technology $14 273%
Molina Exchange $14 273%
Cigna $15 - $63 293%
Everpointe Elite $15 293%
Quartz Group $15 293%
Wisconsin Physician Service $17 332%
Trilogy $18 352%
Health Eos Plus $45 879%
Health Eos $60 1172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1220 Dewey Ave, Wauwatosa, WI 53213
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric