Blood test, creatinine (kidney)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $5
- Cash Discount Price: $14
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Smarthealth | $1 - $7 | 20% |
| UnitedHealthcare | $5 - $14 | 98% |
| Medicare (plans) | $5 | 98% |
| Humana | $5 | 98% |
| Va | $5 | 98% |
| Aetna | $5 | 98% |
| Medicaid / KanCare | $5 | 98% |
| Providrs Care | $5 | 98% |
| Ambetter / Centene | $9 | 176% |
| Blue Cross Blue Shield | $15 - $46 | 293% |
Consumer Guidance & Cost Commentary
For the blood test for creatinine (kidney) at Ascension Via Christi Hospital Manhattan, Inc, the cash median price is $14.00, which is significantly lower than the facility's gross charge of $35.00. When comparing this to the state of Kansas, the facility's negotiated rate of $5.00 is notably lower than the state average of $15.00, while the Medicare benchmark for this service is $5.12. This data suggests that for patients with high-deductible plans, paying the cash price of $14.00 upfront could be more cost-effective than relying on insurance, as the negotiated rate of $5.00 may exceed the cash price once administrative fees and deductibles are factored in. Patients are encouraged to verify their specific plan's allowed amount before scheduling to ensure they are not overpaying due to deductible gaps or network tiering.
To maximize savings, patients should proactively request "self-pay" or "prompt-pay" discounts from the hospital before check-in, as these programs often offer reductions of 20% to 50% for upfront payment by bypassing costly claims processing. It is important to avoid accepting summary bills that obscure individual charges, as an itemized audit can reveal errors such as double-billing or unbundled codes that may not have been rendered. Furthermore, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still review their itemized statement to confirm that all services were billed correctly and that no unexpected ancillary charges were applied.