CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Adventist Health Ukiah Valley

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $10
Cash Discount Price: $20
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Adventist Health Ukiah Valley is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $20 (391%)

Insurance Median: $10 (195%)

Cash: $20 (391% of Medicare)

Ins. Median: $10 (195% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Shield Epn-All Other Plans	$2 - $47	39%
Blue Shield Non-Epn	$2 - $48	39%
Healthnet-All Plans	$2 - $71	39%
Western Growers-All Plans	$2 - $64	39%
Cigna	$3 - $97	59%
Foundation For Medical Care-All Plans	$3 - $93	59%
Kaiser-All Other Plans	$3 - $99	59%
Mendocino Lcc District-All Plans	$3 - $81	59%
Networks By Design-All Plans	$3 - $99	59%
Phcs Multiplan-All Plans	$3 - $99	59%
UnitedHealthcare	$3 - $104	59%
Beech Street-All Plans	$4 - $105	78%
Choice Care-All Plans	$4 - $105	78%
Health Mgmt Network-All Plans	$4 - $105	78%
Interplan-All Plans	$4 - $102	78%
Kaiser Medi-Cal	$4 - $6	78%
Medi-Cal	$4 - $6	78%
Three Rivers-All Plans	$4 - $112	78%
Blue Shield Mcr Adv	$5	98%
Kaiser Mcr Adv	$5	98%
Tricare	$5	98%
Ah Employee Health Plan - All Plans	$9	176%
Aetna	$45	879%
Blue Cross Blue Shield	$52 - $69	1016%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $20.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Ukiah Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.