CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Chinese Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $18
Cash Discount Price: $113
vs. Medicare Baseline: 3.52x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Chinese Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.52x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $113 (2207%)

Insurance Median: $18 (352%)

Cash: $113 (2207% of Medicare)

Ins. Median: $18 (352% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 352% of the Medicare baseline (a markup of 252%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$2 - $13	39%
Aetna	$5 - $26	98%
Cchp Mcr Adv	$5	98%
Jade Mcr Adv	$5	98%
Jade-All Other Plans	$6	117%
Medi-Cal	$6	117%
On Lok Mcr Adv-All Plans	$6	117%
San Francisco Health Plan- All Plans	$6	117%
Hp Of San Mateo Medi-Cal	$7	137%
Asian Medical Group Medi-Cal Op Only	$8	156%
Blue Shield Medi-Cal	$8	156%
Health Net-All Plans	$8 - $135	156%
Hp Of San Mateo Health Kids/Health Worx-All Other	$8	156%
Cigna	$9 - $140	176%
Jade Medi-Cal	$11	215%
Cchp-All Other Plans	$14 - $216	273%
Hp Of San Mateo Mcr Adv	$14 - $229	273%
Asian Medical Group Mcare Op Only-All Other Plans	$16 - $254	313%
Bay Area Accountable Care Mcare	$16 - $254	313%
Bay Area Accountable Care - All Other Plans	$29 - $457	566%
Blue Shield - All Other Plans	$261	5098%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $113.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Chinese Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.