CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Adventist Health White Memorial Montebello

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Adventist Health White Memorial Montebello is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$5

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: $5 (98%)
Insurance Median: $6 (117%)
Cash: $5 (98% 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
Aetna $5 - $86 98%
Alignment Health Plan-All Plans $5 98%
Altamed Mcare-All Other Plans $5 98%
Blue Shield Mcare Adv $5 98%
Brand New Day Mcare-All Other Plans $5 98%
Brandman Health Plan-All Plans $5 98%
Caremore-All Plans $5 98%
Clever Care Hp-All Plans $5 98%
Easy Choice Mcare Adv-All Plans $5 98%
Healthnet Med Adv $5 98%
Kaiser Mcare Adv $5 98%
Oscar-All Plans $5 98%
Scan Health-All Plans $5 98%
Altamed Mcal $6 117%
Bc Mcal $6 117%
Blue Shield Promise Mcal $6 117%
Brand New Day Mcal $6 117%
Healthnet Mcal $6 117%
Kaiser Mcal $6 117%
La Care Mcal $6 117%
Medi-Cal $6 117%
Molina Mcal - All Plans $6 117%
Blue Shield Epn Ifp $7 137%
Cigna $9 176%
Healthnet Salud $70 1367%
Healthcare Partners-All Plans $115 2246%
Blue Cross Blue Shield $157 3066%
Blue Shield Epn Core $271 5293%
Blue Shield Comm - All Other Plans $281 5488%
Healthnet Comm-All Other Plans $515 10059%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals