CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Sheridan Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Sheridan Memorial Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $16 (313%)
Insurance Median: $9 (176%)
Cash: $16 (313% of Medicare)
Ins. Median: $9 (176% 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.

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
Pacificsource-All Plans $2 39%
Humana $5 98%
Blue Cross Blue Shield $7 - $27 137%
C1 Employee - All Plans $8 - $29 156%
Casper Opco Llc - All Plans $8 - $29 156%
Cigna $8 - $30 156%
First Health Comm - All Plans $8 - $29 156%
Miscellaneous-All Plans $8 - $29 156%
UnitedHealthcare $8 - $27 156%
Wise Provider Network-All Plans $8 - $30 156%
Wy School Boards-All Plans $8 - $27 156%
Ebms - All Plans $9 - $30 176%
First Choice Comm - All Plans $9 - $30 176%
Phcs Multiplan-All Plans $9 - $30 176%
Three Rivers-All Plans $9 - $30 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W 5Th St, Sheridan, WY 82801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals