CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Glendale Adventist Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $32
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 6.25x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Glendale Adventist Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 6.25x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $25 (488%)
Insurance Median: $32 (625%)
Cash: $25 (488% of Medicare)
Ins. Median: $32 (625% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 625% of the Medicare baseline (a markup of 525%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 Medi-Cal $1 20%
Blue Shield Epn - All Other Plans $2 - $123 39%
Blue Shield Non Epn $2 - $142 39%
Caremore Mcr Adv - All Plans $2 - $191 39%
First Health- All Plans $2 - $194 39%
Healthcare Partners- All Plans $2 - $159 39%
Healthnet - All Other Plans $2 - $189 39%
Heritage Commercial - All Other Plans $2 - $178 39%
Heritage Sr $2 - $181 39%
La Care Mcr Adv- All Plans $2 - $184 39%
UnitedHealthcare $2 - $159 39%
Western Growers/Pinnacle - All Plans $2 - $178 39%
Beech Street - All Plans $3 - $251 59%
Choicecare - All Plans $3 - $251 59%
Corvel- All Plans $3 - $268 59%
Employers Health Network - All Plans $3 - $17 59%
Phcs- All Plans $3 - $218 59%
Phys Assoc Op Only- All Plans $3 - $17 59%
Scan Mcr Adv - All Plans $3 - $218 59%
Alignment Hp Mcr Adv - All Plans $4 - $335 78%
Blue Shield Medi-Cal $4 - $15 78%
Health Mgmt Network - All Plans $4 - $285 78%
Healthnet Mcal $4 - $7 78%
Heritage Mcal $4 - $6 78%
Kaiser - All Plans $4 - $285 78%
Medi-Cal $4 - $6 78%
Molina Mcal $4 - $6 78%
Three Rivers - All Plans $4 - $285 78%
Blue Cross Blue Shield $5 - $57 98%
Blue Shield Mcr Adv $5 98%
Clever Care Mcr Adv - All Plans $5 98%
Molina Mcr $5 98%
Regal Med Group Mcal $5 98%
Tricare $5 98%
Healthnet Mcr Adv $6 - $476 117%
Regal Medical Group Commercial - All Other Plans $6 117%
Dept Of State Hsp Metropolitan- All Plans $7 137%
Molina Exchange - All Other Plans $7 137%
Ah Employee Health Plan - All Plans $9 176%
Centivo - All Plans $12 234%
Cigna $18 352%
Aetna $31 605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals