CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Monterey Park Hospital
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $8
- Cash Discount Price: $136
- vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Monterey Park Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$136
Average discount available for prompt cash payment at this facility.
Insurance Median
$8
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: $136 (2656%)
Insurance Median: $8 (156%)
Cash: $136 (2656% of Medicare)
Ins. Median: $8 (156% 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 |
|---|---|---|
| Altamed Health Services Corporation | $2 - $25 | 39% |
| Care 1St M Cal | $2 - $25 | 39% |
| Crown City Medical Group Inc | $2 - $25 | 39% |
| Family Health Alliance Medical Group | $2 - $74 | 39% |
| Garfield Medical Center | $2 - $25 | 39% |
| Physician Healthways | $2 - $62 | 39% |
| Universal Care M Cal/Advantage Health Network | $2 - $25 | 39% |
| Access Ipa Ancillary | $4 - $5 | 78% |
| Accountable Ipa | $4 | 78% |
| Ahmc Healthcare Inc | $4 - $74 | 78% |
| Allied Physicians | $4 - $8 | 78% |
| Alta Med Health Services Corp | $4 - $62 | 78% |
| Altamed Health Network | $4 - $5 | 78% |
| Altamed Health Services | $4 | 78% |
| Applecare Medical Group | $4 | 78% |
| Assess Ipa | $4 | 78% |
| Associated Hispanic Physicians Ancillary | $4 - $5 | 78% |
| Bella Vista Medical Group | $4 - $74 | 78% |
| Bella Vista Medical Group Ancillary | $4 | 78% |
| Beverly Hospital | $4 - $6 | 78% |
| Blue Cross Blue Shield | $4 - $124 | 78% |
| Brand New Day | $4 - $6 | 78% |
| Care 1St Mcl/Gar Cap | $4 | 78% |
| Central Health Plan | $4 | 78% |
| Community Health Plan | $4 | 78% |
| Esperanza Medical Group Ipa | $4 - $74 | 78% |
| Health Net Medi Cal | $4 | 78% |
| Healthnet Inc | $4 | 78% |
| Healthy Way La | $4 | 78% |
| La Care | $4 - $5 | 78% |
| La Care Health Plan | $4 - $136 | 78% |
| Medical Managed Care Program | $4 | 78% |
| Molina Healthcare | $4 | 78% |
| Other Non-Contracted Medi-Cal | $4 | 78% |
| Preferred Ipa | $4 - $6 | 78% |
| Preferred Ipa Of California | $4 | 78% |
| Veterans Administration | $4 | 78% |
| Aetna | $5 - $180 | 98% |
| Aids Health Foundation | $5 | 98% |
| Alhambra Community Dialysis Unit Inc | $5 - $148 | 98% |
| Alignment Health Plan | $5 | 98% |
| Apa/Aco Inc | $5 | 98% |
| Avanti | $5 - $6 | 98% |
| Blue Shield Of California | $5 - $124 | 98% |
| Cms | $5 | 98% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $5 | 98% |
| Easy Choice Health Plan | $5 | 98% |
| Emanate Health | $5 - $6 | 98% |
| Employee Health Systems Medical Group | $5 - $49 | 98% |
| First Health Senior | $5 | 98% |
| Foundation Health Plan | $5 | 98% |
| Global Care Medical Group Ipa | $5 - $111 | 98% |
| Health Net | $5 - $161 | 98% |
| Health Net Inc | $5 - $175 | 98% |
| Healthnet/Ehs Capitation | $5 - $49 | 98% |
| Hollywood Presbyterian Adv Med Mcal | $5 | 98% |
| Hollywood Presbyterian Medpoint Mcal | $5 | 98% |
| Humana | $5 | 98% |
| La Care Covered Direct | $5 | 98% |
| Maxi Med Inc/Ipa | $5 | 98% |
| Medi Cal | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Molina Healthcare Medi-Connect | $5 | 98% |
| Pacific Independent Physician Association | $5 - $74 | 98% |
| Scan Health Plan | $5 | 98% |
| Secure Horizons | $5 | 98% |
| Self-Pay | $5 | 98% |
| Senior Citizens Choice | $5 | 98% |
| Ucla/Impact Cancer | $5 | 98% |
| UnitedHealthcare | $5 - $173 | 98% |
| Ahmc Health Epo | $6 | 117% |
| Asi Flex Ppo W/C | $6 | 117% |
| Athens Administrators | $6 | 117% |
| Cigna | $6 | 117% |
| Hispanic Physicians Ipa Medical Corporation | $6 - $62 | 117% |
| Indemnity W Comp Fee Schedule | $6 | 117% |
| Interplan | $6 - $185 | 117% |
| Knox-Keene Act | $6 | 117% |
| Molina Healthcare Of California | $6 | 117% |
| Multiplan | $6 - $210 | 117% |
| Preferred Health Network | $6 - $198 | 117% |
| San Miguel Health Plan | $6 | 117% |
| Ahmc Reciprocity Agreement Senior/Commercial | $8 - $74 | 156% |
| Allied Physicians Ipa | $8 - $74 | 156% |
| Caloptima Direct | $8 | 156% |
| Community Health Plan M Cal Joy Ipa | $8 - $74 | 156% |
| Tenet Reciprocity | $8 - $74 | 156% |
| Healthcare Partners Affiliates Medical Group | $9 - $88 | 176% |
| Central Health Plan Of California | $10 - $99 | 195% |
| Molina Medical Centers | $10 - $96 | 195% |
| Pacificare | $10 - $20 | 195% |
| Care 1St Health Plan | $15 - $148 | 293% |
| Greater Los Angeles Dialysis Inc | $15 - $148 | 293% |
| Health Net Of California | $15 - $148 | 293% |
| One Health Plan | $15 - $775 | 293% |
| Choice Care Network | $16 - $161 | 313% |
| Healthnet | $16 - $161 | 313% |
| Universal Care | $18 - $173 | 352% |
| Corvel Corporation | $20 - $925 | 391% |
| Bce Emergis Corp | $21 - $210 | 410% |
| Commercial Non Contract | $25 - $247 | 488% |
| Mri/Ct Greater El Monte Hospital | $25 - $247 | 488% |
| Mri/Mra/Alhambra Hospital | $25 - $247 | 488% |
| Mri/Mra/Eladh | $25 - $247 | 488% |
| One Legacy | $25 - $247 | 488% |