Blood test, creatinine (kidney)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $82
- Cash Discount Price: $109
- vs. Medicare Baseline: 16.02x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1602% of the Medicare baseline (a markup of 1502%). 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.
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 | $66 | 1289% |
| Americas Choice Provider Network | $77 | 1504% |
| Provider Network Of America | $82 | 1602% |
| Quiktrip Corporation | $82 | 1602% |
| Usa Managed Care Organization | $82 | 1602% |
| Velocity | $82 | 1602% |
| Multiplan-Phcs | $87 | 1699% |
| Prime Health Services | $93 | 1816% |
| Medincrease | $98 | 1914% |
Consumer Guidance & Cost Commentary
For the CPT code 82565, representing a blood test for creatinine (kidney function), the facility's cash median price is $109.00. This cash rate is significantly higher than the state average, which is $5.12, and also exceeds the Medicare benchmark of $5.12. While commercial insurance plans typically negotiate rates that average between 200% and 300% of the Medicare rate, the negotiated rates for this service in Overland Park range from $66 to $98 across nine payers. For patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $109.00 upfront may be more cost-effective than using insurance, as the insurer's negotiated allowed amount could exceed the cash price.
To ensure you are receiving the best possible rate, it is important to verify your specific plan's negotiated amount before scheduling, as in-network rates vary by carrier. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives. Additionally, if you receive a summary bill, request a full itemized statement to review every line item and ensure no unbundled charges or services not rendered are included. Always dispute any errors in writing to protect your rights and avoid unexpected balance billing, especially if you are unsure about your network status or if ancillary services were provided.