CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Alhambra Hospital Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $210
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Alhambra Hospital Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$210

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: $210 (4102%)
Insurance Median: $6 (117%)
Cash: $210 (4102% 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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $4 78%
Citrus Valley Health Partners $4 78%
Kaiser Medi-Cal $4 78%
La Care Pasc Seiu Misc $4 78%
Miscellaneous Medi-Cal Hmo $4 78%
Stewart Mg Senior Hmo $4 78%
Aetna $5 - $9 98%
Alignment Senior Hmo $5 98%
Allied Physicians Of Ca Medi-Cal $5 98%
Altamed Senior Services $5 98%
Apa Aco $5 98%
Blue Cross Blue Shield $5 - $10 98%
Blue Shield 65 Plus $5 98%
Brand New Day Sr $5 98%
Central Health Plan Of Ca Senior Hmo $5 98%
Health Net Medi-Cal $5 98%
Health Net Senior Hmo $5 98%
Humana $5 98%
La Care Exchange $5 98%
La Care Medi-Cal Hmo $5 98%
Medi-Cal $5 98%
Medicare (plans) $5 - $126 98%
Miscellaneous Senior Hmo $5 98%
UnitedHealthcare $5 - $10 98%
Wellcare Senior Hmo $5 98%
Cigna $6 - $95 117%
Health Net Exchange $6 117%
Health Net Salud Con Hmo $6 117%
Miscellaneous Work Comp Hmo $6 117%
Molina Exchange $6 117%
Tricare $6 117%
Ahmc Health $8 156%
Allied Physicians Of Ca Commercial $8 156%
Health Net Ppo/Epo/Pos $11 215%
Ahmc-Reciprocity-Comm/Senior $63 1230%
Blue Shield Value Network Exchange $64 1250%
Blue Shield Hmo/Ppo $71 1387%
Allied Physicians Comm/Sr $74 1445%
Allied Physicians Medi-Cal $74 1445%
Wellcare Allied Senior Hmo $74 1445%
Molina Health Plan $82 1602%
Self Pay $84 1641%
Health Net Exchange Enhanced Ppo $89 1738%
Kaiser Commercial $130 2539%
Scan Senior Plan $137 2676%
Multiplan $168 3281%
Miscellaneous Commercial Ppo/Hmo $210 4102%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals