CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Riverside Community Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Riverside Community Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$348

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $348 (6797%)
Insurance Median: $6 (117%)
Cash: $348 (6797% of Medicare)
Ins. Median: $6 (117% 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
Bristol Hospice $4 78%
Aetna $5 - $63 98%
Alignment Health Plan $5 98%
Blue Cross Blue Shield $5 - $27 98%
Blue Shield $5 - $56 98%
Brand New Day $5 - $6 98%
Care1St Health Plan $5 98%
Central Health Plan $5 98%
Clever Care Of Golden State $5 98%
Easy Choice Health Plan $5 98%
Health Net $5 - $78 98%
Heritage Provider Network $5 - $7 98%
Humana $5 98%
Redlands Community Hospital $5 98%
Riverside Medical Clinic $5 - $6 98%
Riverside Physician $5 98%
Scan Health Plan $5 98%
Triwest Healthcare Alliance $5 98%
United $5 - $92 98%
UnitedHealthcare $5 98%
Corvel Corporation $6 117%
Healthsmart $6 - $278 117%
La Care Health $6 117%
Molina $6 117%
Next $6 - $278 117%
Inland Empire Health Plan $8 - $9 156%
Bright Health $13 254%
Cigna $14 273%
Medcare Partners $52 1016%
First Health $153 - $313 2988%
American Health System $157 3066%
Multiplan $278 - $296 5430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals