CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Scripps Memorial Hospital - Encinitas
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $5
- Cash Discount Price: $6
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Scripps Memorial Hospital - Encinitas is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 354 Santa Fe Drive, Encinitas, CA.
Cash / Self-Pay
$6
Average discount available for prompt cash payment at this facility.
Insurance Median
$5
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: $6 (117%)
Insurance Median: $5 (98%)
Cash: $6 (117% of Medicare)
Ins. Median: $5 (98% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Radys Cpmg [803] | $2 | 39% |
| Blue Cross Blue Shield | $4 - $6 | 78% |
| Cigna | $4 - $8 | 78% |
| Mc Alignment [917] | $4 | 78% |
| Mc Blue Shield Promise Health Plan [914] | $4 | 78% |
| Mc Blue Shield [902] | $4 | 78% |
| Mc Health Net [904] | $4 | 78% |
| Mc Scan [905] | $4 | 78% |
| Mc United [906] | $4 | 78% |
| Aetna | $5 - $12 | 98% |
| Alignment Health Plan [443] | $5 | 98% |
| Astiva Mcr Adv [464] | $5 | 98% |
| Bc Mcr Adv [830] | $5 | 98% |
| Bc [814] | $5 | 98% |
| Bs Mcr Adv [829] | $5 | 98% |
| Centivo [581] | $5 | 98% |
| Central Health Mcr Adv [441] | $5 | 98% |
| Clever Care Mcr Adv [465] | $5 | 98% |
| D-Snp Mcr Adv [889] | $5 | 98% |
| Dsnp/Csnp - Generic [458] | $5 | 98% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $5 | 98% |
| Family Health Centers Pace Medi-Cal [555] | $5 | 98% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $5 | 98% |
| Gpmg/Altura - Mcr Adv [888] | $5 | 98% |
| Hn Mcr Adv [832] | $5 | 98% |
| Humana | $5 | 98% |
| Imperial County Phys Med Group [855] | $5 - $8 | 98% |
| Integrated Health Partners - Mcr Adv [895] | $5 | 98% |
| Integrated Health Partners [894] | $5 | 98% |
| Kaiser Northern Ca Region Mcr Adv [386] | $5 | 98% |
| La Care Mcr Adv Hmo [612] | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Mpmg Mcr Adv [836] | $5 | 98% |
| Mpmg [800] | $5 | 98% |
| Ocn Mcr Adv [890] | $5 | 98% |
| Perlman Med Group [899] | $5 | 98% |
| San Diego Pace Medi-Cal [553] | $5 | 98% |
| Scan Mcr Adv [835] | $5 | 98% |
| Scan [500] | $5 | 98% |
| Scan [818] | $5 | 98% |
| Sharp Comm Med Grp Mcr Adv [840] | $5 | 98% |
| Sharp Comm Med Grp [812] | $5 - $11 | 98% |
| Sharp Health Plan Mcr Adv [531] | $5 | 98% |
| Sharp Health Plan Mcr Adv [897] | $5 | 98% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $5 | 98% |
| Sharp Rees Stealy Med Grp [811] | $5 - $11 | 98% |
| St Paul'S Pace Medi-Cal [551] | $5 | 98% |
| Ucsd Mcr Adv [873] | $5 | 98% |
| Ucsd [807] | $5 - $11 | 98% |
| Uh Mcr Adv [831] | $5 | 98% |
| Uh Palomar Health Mcr Adv [885] | $5 | 98% |
| UnitedHealthcare | $5 - $8 | 98% |
| Blue Shield [230] | $8 | 156% |
| Bs [816] | $8 | 156% |
| Health Net [340] | $8 - $13 | 156% |
| Hn [815] | $8 | 156% |
| Uh [819] | $8 | 156% |
| Prime Healthcare [614] | $9 | 176% |
| Prospect Med Group [893] | $9 | 176% |
| Rady Children'S Hospital [825] | $10 | 195% |
| Palomar Health [892] | $11 | 215% |
| Veba Med Grp [813] | $11 | 215% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $13 | 254% |
| Kaiser [380] | $13 | 254% |
| Kaiser [383] | $13 | 254% |
| Multi Plan Network [470] | $17 | 332% |
| First Health Network [330] | $18 | 352% |
| Pnoa [615] | $18 | 352% |
| Choice Care Network [270] | $19 | 371% |
| Healthsmart [350] | $19 | 371% |