CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Adventist Health Lodi Memorial

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Adventist Health Lodi Memorial is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $7 (137%)
Insurance Median: $7 (137%)
Cash: $7 (137% of Medicare)
Ins. Median: $7 (137% 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
Bc Mcal $1 20%
Blue Shield Epn - All Other Plans $1 - $194 20%
Blue Shield Non-Epn $1 - $201 20%
Medcore(Omni Ipa) Op Only- All Plans $1 - $156 20%
Healthnet- All Other Plans $2 - $294 39%
Kaiser Commercial - All Other Plans $2 - $246 39%
Networks By Design- All Plans $2 - $300 39%
UnitedHealthcare $2 - $249 39%
Multiplan- All Plans $3 - $479 59%
Beech Street- All Plans $4 - $539 78%
Celtic Ins Company - All Plans $4 - $7 78%
Cigna $4 - $539 78%
First Health- All Plans $4 - $491 78%
Healthnet Mcal $4 - $8 78%
Hp Of San Joaquin Mcal $4 - $7 78%
Hp Of San Joaquin Ppo - All Other Plans $4 - $569 78%
Kaiser Mcal $4 - $6 78%
Medi-Cal $4 - $6 78%
Three Rivers Provider Network- All Plans $4 - $539 78%
Western Growers- All Plans $4 - $539 78%
Alignment Health Plan (Ahp)-All Plans $5 98%
Blue Shield Mcare Adv $5 98%
Cca Health Plan Mcr Adv- All Plans $5 98%
Healthnet Mcare $5 98%
Hp Of San Joaquin Mcr Adv $5 98%
Humana $5 98%
Kaiser Mcr Adv $5 98%
Tricare $5 98%
Knnex Health - All Plans $6 117%
Ah Employee Health Plan - All Plans $9 176%
Bright Health - All Plans $10 195%
Aetna $17 332%
Blue Cross Blue Shield $51 - $56 996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals