CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Paradise Valley Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Paradise Valley Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$5

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: $5 (98%)
Insurance Median: $5 (98%)
Cash: $5 (98% 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 - $7 98%
Blue Sheid Of Promise $5 98%
Blue Shield Of Ca, Va $5 98%
Brand New Day $5 - $8 98%
Ca Foundation For Medical Care $5 98%
Central Health $5 98%
Choice Physicians Network $5 98%
Clever Care Of Golden State, Inc $5 98%
Community Health Group $5 - $6 98%
County Of San Diego $5 98%
Golden Physicians Medical Group $5 - $6 98%
Health Excel Ins $5 98%
Health Net Of Ca $5 - $7 98%
Heritage Provider Netwrok $5 - $7 98%
Imperial Health Plan Of Ca $5 98%
Managed Health Network $5 98%
Medicare (plans) $5 98%
Molina $5 98%
Renal Payer Solutions $5 98%
Traditional Medi-Cal $5 98%
Tricare $5 98%
UnitedHealthcare $5 - $9 98%
Usa Senior Care Network $5 98%
Verda Health Plan $5 98%
Health Net Federal Service (Cdcr) $6 117%
Veterans Evaluation Services $6 117%
Ca Dept Of Correction & Rehab $7 137%
Employer Direct Healthcare $7 137%
Integrated Medical Solutions $7 137%
Worker Comp $7 137%
Naphcare $8 - $10 156%
Scripps Health $9 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals