CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Ventura County Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Ventura County Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$66

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: $66 (1289%)
Insurance Median: $7 (137%)
Cash: $66 (1289% 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
Vchcp-All Plans $1 - $57 20%
Blue Shield Epn $2 - $117 39%
Aetna $3 - $301 59%
Healthnet Comm-All Other Plans $3 - $166 59%
Kaiser Comm Pediatric Ip/Op Only $3 - $166 59%
UnitedHealthcare $3 - $165 59%
Alignment Hp - All Plans $5 98%
Blue Cross Blue Shield $5 - $279 98%
Blue Shield Mcr Adv $5 98%
Healthnet Mcr Adv $5 98%
Humana $5 98%
Multiplan/Claritev-All Plans $5 - $241 98%
Ppo Next Ip/Op Only-All Plans $5 - $271 98%
Three Rivers Ip/Op Only-All Plans $5 - $241 98%
Americas Hp Mcal Ip/Op Only $6 - $8 117%
Americas Hp Mcr Adv Ip/Op Only $6 117%
Clinicas Mcal $6 - $7 117%
Clinicas Mcr Adv $6 117%
Gold Coast Medi-Cal-All Plans $6 - $10 117%
Hpn Ip/Op Only Medi-Cal $6 117%
Kaiser Mcal Pediatric Ip/Op Only $6 117%
Kaiser Mcr Pediatric Ip/Op Only $6 - $301 117%
Kaiser Medi-Cal Ip/Op Only $6 117%
Medi-Cal $6 117%
Medicare (plans) $6 - $301 117%
Scan-All Plans $6 117%
Western Growers-All Plans $6 117%
Clinicas Comm - All Other Plans $7 137%
Imperial-All Plans $7 137%
Ntwrk Provdrs-All Plans $7 137%
Tricare $7 - $15 137%
Americas Hp Comm Ip/Op Only-All Other Plans $8 156%
Hpn Comm Ip/Op Only-All Other Plans $8 - $427 156%
Cigna $9 176%
Blue Shield Comm - All Other Plans $17 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals