CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at UCSF Health St. Mary's Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$87

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: $87 (1699%)
Insurance Median: $7 (137%)
Cash: $87 (1699% 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 - $29 98%
Blue Cross Blue Shield $5 - $131 98%
Blue Shield Ca $5 - $132 98%
Brown Toland $5 98%
Chinese Community $5 - $106 98%
Connected Care $5 98%
Health Net $5 - $9 98%
Health Plan San Mateo $5 - $6 98%
Humana $5 98%
Kaiser $5 - $124 98%
Mhn $5 98%
United $5 - $6 98%
California Health & Wellness $6 117%
Magellan $6 - $184 117%
Partnership Health Plan $6 117%
Sfhp $6 117%
Healthsmart $7 - $215 137%
Multiplan $8 - $255 156%
Us Behavioral Health $10 - $163 195%
Kentfield $15 293%
Oscar $17 332%
Cigna $22 - $24 430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals