CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Adventist Health Twin Cities

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $31
Cash Discount Price: $36
vs. Medicare Baseline: 6.05x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Adventist Health Twin Cities is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 6.05x the Medicare baseline. Located in 1100 Las Tablas Rd, Templeton, CA.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $36 (703%)

Insurance Median: $31 (605%)

Cash: $36 (703% of Medicare)

Ins. Median: $31 (605% 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 605% of the Medicare baseline (a markup of 505%). 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
Aetna	$5	98%
Cencal Mcr Adv - All Other Plans	$5	98%
Tricare	$5	98%
UnitedHealthcare	$5 - $172	98%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans	$7	137%
Ah Employee Health Plan - All Plans	$9	176%
Hpn-Heritage Prov Ntwrk-All Plans	$14	273%
Blue Shield Epn	$15	293%
Blue Shield Hmo/Pos	$17	332%
Nbd-Ntwrks By Design Non-Exlus	$24	469%
Pacific Health Alliance-All Plans	$38	742%
Cencal Mcal	$48	938%
Ccah-Centrl Ca Allince Mcal-All Plans	$55	1074%
Coalinga-All Plans	$55	1074%
Blue Shield Epo/Ppo - All Other Plans	$248	4844%
Chn-Community Hlth Ntwrk-All Plans	$281	5488%
Nbd-Ntwrks By Design Exlus-All Other Plans	$295	5762%
Medi-Cal	$511	9980%
Blue Shield Promise Mcal	$614	11992%

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 $36.
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 Adventist Health Twin Cities 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.