Blood test, creatinine (kidney)
Facility: Greeley County Health Services
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $5
- Cash Discount Price: $26
- 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 |
|---|---|---|
| Medicaid / KanCare | $5 | 98% |
| Aetna | $5 | 98% |
Consumer Guidance & Cost Commentary
For this blood test for creatinine at Greeley County Health Services in Tribune, KS, the cash median price is $26.00, which is lower than the facility's gross charge of $37.00. While the facility is a Critical Access Hospital owned by the local government, the data does not provide a specific county or state average for comparison. However, the negotiated rate of $5.00 is significantly lower than the cash price, illustrating that commercial insurance contracts often set a ceiling well below the cash-pay amount. Patients with high-deductible plans should be aware that paying cash might sometimes be more expensive than the negotiated rate their insurance would pay, though the cash price here remains the lowest available option for self-pay.
The Medicare benchmark for this service is $5.12, which serves as the objective baseline for evaluating pricing markups. The facility's cash rate of $26.00 represents a substantial markup over the Medicare rate, highlighting the difference between the federal cost baseline and commercial pricing. If you have insurance, the negotiated rate of $5.00 is the amount your plan would pay, but you must verify your deductible status before scheduling to avoid unexpected out-of-pocket costs. Additionally, since this is a government-owned facility, you should explicitly ask the billing department about any "self-pay" or "prompt-pay" discounts that could further reduce the final amount owed if you choose to pay directly.