CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Marinhealth Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $116
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Marinhealth Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.
Cash / Self-Pay
$116

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: $116 (2266%)
Insurance Median: $10 (195%)
Cash: $116 (2266% 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.

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 - $11 98%
Brown And Tolan $5 98%
Healthnet Tailored Network $5 98%
Kaiser $5 98%
Marin Cancer Care $5 98%
Blue Cross Blue Shield $6 - $8 117%
Canopy Hill Physicians $6 117%
Cigna $6 - $16 117%
Healthnet Hmo/Ppo Hill Physicians $6 117%
Hills Blue Shield Hmo/Ppo $6 117%
Ca Prison Health Care Services $8 156%
Healthnet Enhancedcare $13 254%
UnitedHealthcare $14 - $2,330 273%
Provider Network Of America $24 469%
Canopy $29 566%
Blue Shield Cpic/Epo $30 586%
Providers Network Of America $32 625%
Blue Shield Hmo/Ppo $34 664%
Healthnet Hmo/Ppo $34 664%
Blue Shield Aco $35 684%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals