CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Adventist Health Reedley

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Adventist Health Reedley is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$22

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: $22 (430%)
Insurance Median: $7 (137%)
Cash: $22 (430% 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
Bc Mcal $1 20%
Blue Shield Epn - All Other Plans $2 - $59 39%
Blue Shield Non Epn $2 - $69 39%
Healthnet- All Other Plans $2 - $58 39%
Kaiser - All Other Plans $2 - $67 39%
UnitedHealthcare $2 - $56 39%
Western Growers/Pinnacle- All Plans $2 - $62 39%
Cigna $3 - $87 59%
Physicians Med Group Op/Profee Only- All Plans $3 - $107 59%
Cal Viva Hlth Mcal - All Plans $4 - $6 78%
Community Care Ipa Mcal-All Plans $4 - $8 78%
Dignity Mcal Op/Profee Only-All Other Plans $4 - $6 78%
Kern Health Systems Mcal-All Plans $4 - $6 78%
Medi-Cal $4 - $6 78%
Blue Shield Mcare $5 98%
Dignity Mcr Adv Op/Profee Only $5 98%
Fhcn Pace Mcr Adv-All Plans $5 98%
Healthnet- Mcr Adv $5 98%
Kaiser Mcr Adv $5 98%
Phs Prime Health Srvcs $5 98%
Tricare $5 98%
Aetna $8 - $30 156%
Bright Health Mcr Adv - All Plans $8 156%
Ah Employee Health Plan - All Plans $9 176%
Healthnet Medi-Cal $15 - $20 293%
Blue Cross Blue Shield $23 - $66 449%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals