CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Banner Estrella Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Banner Estrella Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 9201 West Thomas Road, Phoenix, AZ.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $18 (352%)
Insurance Median: $10 (195%)
Cash: $18 (352% of Medicare)
Ins. Median: $10 (195% 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
Aetna $5 - $63 98%
Arizona Physicians Ipa $5 98%
Banner Health $5 98%
Banner University Health Plan $5 98%
Blue Cross Blue Shield $5 - $23 98%
Care 1St $5 98%
Carelon $5 98%
Cigna $5 - $10 98%
Devoted Health Services $5 98%
Gila River Health Care Corporation $5 98%
Health Choice Arizona, Inc. $5 - $8 98%
Health Net $5 - $8 98%
Humana $5 98%
Kaiser Foundation Health Plan $5 98%
Mercy Care $5 98%
Triwest Healthcare Alliance Corp - Va Ccn $5 98%
UnitedHealthcare $5 - $12 98%
Upmc Health Plan $5 98%
Wellpoint $5 98%
Arizona Priority Care $6 117%
Gold Kidney Health Plan $6 117%
Naphcare $7 137%
Oscar Health Plan $8 156%
Hospice Of The Valley $40 - $42 781%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $51 - $54 996%
Plotkin Health $51 - $54 996%
Quiktrip Corporation $62 - $65 1211%
Arizona Medical Network $80 - $84 1563%
Provider Network Of America $86 - $90 1680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9201 West Thomas Road, Phoenix, AZ 85037
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals