CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Banner Gateway Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Banner Gateway Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 1900 North Higley Road, Gilbert, AZ.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $19 (371%)
Insurance Median: $7 (137%)
Cash: $19 (371% of Medicare)
Ins. Median: $7 (137% 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 - $60 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%
Carekin $5 98%
Cigna $5 - $11 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 (Fka Amerigroup) $5 98%
Arizona Priority Care $6 117%
Gold Kidney Health Plan $6 117%
Oscar Health Plan $8 156%
Hospice Of The Valley $40 781%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $51 996%
Plotkin Health $51 996%
Quiktrip Corporation $62 1211%
Arizona Medical Network $80 1563%
Provider Network Of America $86 1680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 North Higley Road, Gilbert, AZ 85234
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals