CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Whittier Hospital Medical Center
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $6
- Cash Discount Price: $22
- vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Whittier Hospital Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$22
Average discount available for prompt cash payment at this facility.
Insurance Median
$6
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: $22 (430%)
Insurance Median: $6 (117%)
Cash: $22 (430% of Medicare)
Ins. Median: $6 (117% 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
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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 |
|---|---|---|
| Ahmc Medi-Cal Reciprocity Agreement | $4 | 78% |
| Aids Healthcare Foundation | $4 - $5 | 78% |
| Allied Physicians | $4 - $8 | 78% |
| Alta Med Health Network | $4 - $5 | 78% |
| Altamed Health Services Corporation | $4 | 78% |
| Beverly Hospital | $4 - $6 | 78% |
| Brand New Day | $4 - $6 | 78% |
| Emanate Health | $4 - $6 | 78% |
| Health Net | $4 - $96 | 78% |
| Healthy Way La | $4 | 78% |
| Heritage Provider Network | $4 - $7 | 78% |
| Kaiser Foundation | $4 - $113 | 78% |
| La Care Healthy Families/Healthy Kids | $4 | 78% |
| Non Contracted Medi-Cal | $4 | 78% |
| Prospect Health Plan | $4 - $8 | 78% |
| Synermed | $4 - $5 | 78% |
| Veterans Administration | $4 | 78% |
| Aetna | $5 - $117 | 98% |
| Alignment Health Plan | $5 | 98% |
| Alta Los Angeles Hospitals Inc | $5 | 98% |
| Apa/Aco Inc | $5 | 98% |
| Avanti | $5 - $6 | 98% |
| Blue Cross Blue Shield | $5 - $80 | 98% |
| Blue Shield Of California | $5 - $80 | 98% |
| Caloptima | $5 - $6 | 98% |
| Care First Health Plan | $5 | 98% |
| Caremore | $5 | 98% |
| Central Health Plan | $5 | 98% |
| County Of Los Angeles Dept Of Health Services | $5 | 98% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $5 | 98% |
| Easy Choice Health Plan | $5 | 98% |
| Hollywood Presbyterian Adv Med Mcal | $5 | 98% |
| Hollywood Presbyterian Medpoint Mcal | $5 | 98% |
| Humana | $5 | 98% |
| La Care Covered Direct | $5 | 98% |
| La Care Health Plan | $5 - $89 | 98% |
| Medi Caid/ Medi Cal | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Molina Healthcare Of California | $5 | 98% |
| Pacific Alliance Medical Center | $5 | 98% |
| Pacific Independent Physician Association | $5 - $48 | 98% |
| Pacificare Of California | $5 | 98% |
| Private Pay | $5 | 98% |
| Scan Health Plan | $5 | 98% |
| Self-Pay | $5 | 98% |
| Ahmc Health | $6 | 117% |
| Applecare Medical Group | $6 | 117% |
| Athens Administrators Ahmc Work Comp | $6 | 117% |
| Capnet | $6 | 117% |
| Chinatown Service Center Pace | $6 | 117% |
| Cigna | $6 | 117% |
| Fmc Los Angeles County | $6 - $121 | 117% |
| Interplan Health Group | $6 | 117% |
| Knox-Keene Act | $6 | 117% |
| Misc 1 | $6 | 117% |
| Molina Medical Center | $6 - $63 | 117% |
| Monarch Healthplan | $6 | 117% |
| Multiplan Wc | $6 | 117% |
| San Miguel Health Plan | $6 | 117% |
| Tricare | $6 | 117% |
| UnitedHealthcare | $10 - $140 | 195% |
| Health Net Inc | $13 - $105 | 254% |
| Healthnet | $15 - $112 | 293% |
| Physician Healthways | $16 | 313% |
| Physicians Healthways Medical Corporation | $40 | 781% |
| Ahmc Reciprocity | $48 | 938% |
| Ahmc Reciprocity Agreement Senior/Commercial | $48 | 938% |
| Wear And Wood | $48 - $64 | 938% |
| Edward Medical Group | $56 | 1094% |
| Central Health Plan Of California | $64 | 1250% |
| Allied Physicians Ipa | $72 | 1406% |
| Prospect Medical | $89 | 1738% |
| Care 1St Health Plan | $97 | 1895% |
| New Horizon Medical Group Inc | $97 | 1895% |
| Cost Containment | $105 | 2051% |
| Davita Healthcare Partners | $105 | 2051% |
| Universal Care | $105 - $113 | 2051% |
| Asi/Flex | $113 | 2207% |
| Us Comp Care | $113 | 2207% |
| Value Healthplan Of California | $113 | 2207% |
| Community Care Network | $121 | 2363% |
| Coventry Health Care | $121 | 2363% |
| Coventry Health Care National Network | $121 | 2363% |
| Interplan Corporation | $121 | 2363% |
| Managed Care Administrators | $121 | 2363% |
| Prohealth | $121 | 2363% |
| Multiplan | $137 | 2676% |
| Commercial Non Contract | $161 | 3145% |
| Medi-Cal Sub Acute | $161 | 3145% |
| One Legacy | $161 | 3145% |
| Great-West Healthcare Of California | $2,500 | 48828% |