CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Redlands Community Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Redlands Community Hospital is $6. 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 1.17x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$66

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: $66 (1289%)
Insurance Median: $6 (117%)
Cash: $66 (1289% 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
Pacificare (Rmg) - All Other Plans $1 - $83 20%
Blue Shield Ppo/Epo/Hmo - All Other Plans $2 - $166 39%
Heritage/Regal Med Grp Sr $2 - $138 39%
Heritage/Regal Med Grp-All Other Plans $2 - $138 39%
Mhn-All Plans $2 - $138 39%
Aetna $3 - $180 59%
Aps-All Plans $3 - $235 59%
Beaver-All Other Plans $3 - $175 59%
Choicecare-All Plans $3 - $222 59%
Cigna $3 - $208 59%
Coventry-All Plans $3 - $194 59%
Interplan - All Plans $3 - $222 59%
Multiplan Kaiser $3 - $199 59%
Pinnacle Op Only-All Plans $3 - $175 59%
Rymg Op Only-All Plans $3 - $175 59%
Beech Street-All Plans $4 - $249 78%
Iehp Healthy Family And Kids $4 - $305 78%
Kaiser Medi-Cal $4 78%
Medi-Cal $4 - $277 78%
Alinment Health Plan Mcr Adv-All Plans $5 98%
Epic Health Plan Senior $5 98%
Health Net Healthy Families $5 98%
Health Net Healthy Kids $5 98%
Iehp - All Other Plans $5 - $324 98%
Iehp Health Access Senior $5 98%
Iehp Mcr Adv $5 98%
Kaiser Senior $5 98%
Medicare (plans) $5 98%
Tricare $5 98%
UnitedHealthcare $5 - $251 98%
Caremore Mcr Adv-All Plans $6 117%
Central Health Plan Sr-All Plans $6 117%
Health Net Mcr Adv $6 117%
Llumc Sr $6 117%
Universal Care-All Plans $6 117%
Dsh - All Plans $7 137%
Epic Health Plan-All Other Plans $7 137%
Llumc-All Other Plans $7 137%
Molina Medi-Cal $7 - $470 137%
Patton Dsh Mcr Adv-All Plans $7 137%
Blue Cross Blue Shield $14 273%
Health Net-All Other Plans $14 273%
Blue Shield Mcare $15 293%
Kaiser Comm-All Other Plans $29 566%
Pacificare Bmg/Rymg Groups Only $128 2500%
Holman-All Plans $403 7871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals