CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Good Samaritan Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $896
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Good Samaritan Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $896. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$896

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: $896 (17500%)
Insurance Median: $7 (137%)
Cash: $896 (17500% 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
Aetna $5 - $26 98%
Affinity Medical Group $5 98%
Alignment Health Plan $5 98%
Blue Cross Blue Shield $5 - $27 98%
Blue Shield $5 - $9 98%
Care1St Health Plan $5 98%
Central Health Plan $5 98%
Clever Care Of Golden State $5 98%
Easy Choice Health Plan $5 98%
Humana $5 - $627 98%
Managed Health Network $5 98%
On Lok Senior Health $5 98%
Palo Alto Medical $5 - $7 98%
Santa Clara Family Health Plan $5 - $170 98%
Scan Health Plan $5 98%
Triwest Healthcare Alliance $5 98%
United $5 - $228 98%
University Healthcare $5 98%
Vitality Health Plan $5 98%
Corvel Corporation $6 117%
Health Net $6 - $209 117%
Physicians Medical Group $6 117%
Affinity Medical Group Comm $7 137%
Canopy $9 176%
Bright Health $10 195%
Cigna $53 - $717 1035%
Medcare Partners $134 2617%
Nx Health Network $537 10488%
Sutter Select $537 10488%
Multiplan $582 - $717 11367%
First Health $681 - $896 13301%
Healthsmart $717 14004%
Intercontinental Corporation $717 14004%
Pha Pacific Health Alliance $717 14004%
Ppo Next $717 14004%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals