CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Northwest Medical Center Sahuarita

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Northwest Medical Center Sahuarita is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $54 (1055%)
Insurance Median: $5 (98%)
Cash: $54 (1055% of Medicare)
Ins. Median: $5 (98% 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 - $8 98%
Banner Mcr Adv $5 98%
Blue Cross Blue Shield $5 - $26 98%
Cigna $5 - $8 98%
Department Of Veterans Affairs $5 98%
Humana $5 98%
Medicaid / KanCare $5 98%
Medicare (plans) $5 98%
Mercy Care $5 98%
Node Banner Mcr Adv $5 98%
Node Caremore Mcr Adv $5 98%
Node Champva $5 98%
Node Clover Health Mcr Adv $5 98%
Node Devoted Health Mcr Adv $5 98%
Node Mercy Care Mcr Adv $5 98%
Node Non Par Hospice Agree $5 98%
Node Triwest $5 98%
Node Va $5 98%
Node Wellcare Mcr Adv $5 98%
Tricare $5 98%
UnitedHealthcare $5 - $6 98%
Node Us Dept Of Labor $6 117%
Ambetter / Centene $7 137%
Node Health Choice Health Exchange $8 156%
Node Fusion Network $9 176%
Node J Allen Inmate Health Svcs $10 195%
Self Pay $34 - $74 664%
Coventry Work Comp Al $115 2246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals