CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Highland Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Highland Hospital is $5. 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 0.98x the Medicare baseline. Located in 1411 East 31St Street, Oakland, CA.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (98%)
Cash: $66 (1289% of Medicare)
Ins. Median: $5 (98% 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
Alameda Alliance Commercial Alternate [4801] $4 78%
Alameda Alliance Mgd Mcal Alternate [2801] $4 78%
Alameda Alliance Non-Verified [1002303] $4 78%
Alameda Alliance [1002106] $4 78%
Alameda Alliance [1002206] $4 78%
Kaiser Medi-Cal Managed Care [1026106] $4 78%
Mc Alameda Alliance Capitation [1002103] $4 78%
Aetna $5 - $80 98%
Blue Cross Blue Shield $5 - $82 98%
Brown Toland Medical Group Alternate [1049301] $5 98%
Brown Toland Medical Group [1049001] $5 98%
Brown Toland Mgd Mcr Alternate [1802] $5 98%
Medicare (plans) $5 98%
Cigna $21 410%
Health Net [1022001] $26 508%
UnitedHealthcare $47 - $63 918%
Blue Shield [1006001] $69 - $82 1348%
Kaiser Commercial [1026001] $85 1660%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1411 East 31St Street, Oakland, CA 94602
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals