CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Adventist Health Delano

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Adventist Health Delano is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$12

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: $12 (234%)
Insurance Median: $5 (98%)
Cash: $12 (234% 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.

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 $1 - $92 20%
Blue Shield Epn - All Other Plans $2 - $24 39%
Blue Shield Non-Epn $3 - $72 59%
Cigna $3 - $89 59%
County Of Kern Network - All Plans $3 - $78 59%
Coventry- All Plans $3 - $67 59%
Foundation For Medical Care Of Kern County - All P $3 - $83 59%
Gem Care- All Plans $3 - $78 59%
Healthnet- All Other Plans $3 - $75 59%
UnitedHealthcare $3 - $80 59%
Western Growers - All Plans $3 - $90 59%
Dignty Hlth Mcal Op Only $4 - $6 78%
Healthnet Medi-Cal $4 - $7 78%
Kaiser Medi-Cal Ip/Op Only $4 - $6 78%
Kern Health System Mcal $4 - $8 78%
Medi-Cal $4 - $6 78%
Universal Care Mcal $4 - $6 78%
Bakersfield Fam Med Grp-All Plans $5 98%
Healthnet Mcr Adv $5 98%
Kern Mcr Adv Dual Dnsp-All Other Plans $5 98%
Medicare (plans) $5 - $8 98%
Tricare $5 98%
Universal Care Mcr- All Other Plans $5 98%
Ah Employee Health Plan - All Plans $9 176%
Kaiser Comm Ip/Op Only- All Other Plans $9 176%
Centivo - All Plans $12 234%
Aetna $34 664%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals