CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Garfield Medical Center
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $7
- Cash Discount Price: $169
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Garfield Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$169
Average discount available for prompt cash payment at this facility.
Insurance Median
$7
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: $169 (3301%)
Insurance Median: $7 (137%)
Cash: $169 (3301% of Medicare)
Ins. Median: $7 (137% 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 |
|---|---|---|
| Pacific Independent Physician Association | $1 - $52 | 20% |
| Associated Hispanic Phys Of So Cal | $2 - $66 | 39% |
| Employee Health Systems Mg | $2 - $66 | 39% |
| Access Ipa Ancillary | $3 - $98 | 59% |
| Ahmc Healthcare Inc | $3 - $98 | 59% |
| Allied Physicians Risk Pool | $3 - $115 | 59% |
| Allied Physicians Risk Pool Agreement | $3 - $115 | 59% |
| Family Health Alliance | $3 - $98 | 59% |
| Healthnet Medi Cal Cap | $3 - $115 | 59% |
| Pipa Risk Pool Agreement | $3 - $115 | 59% |
| Allied Physicians | $4 - $8 | 78% |
| Allied Physicians Med Grp | $4 - $164 | 78% |
| Beverly Hospital | $4 - $6 | 78% |
| Blue Cross Blue Shield | $4 - $164 | 78% |
| Blue Shield Of California | $4 - $164 | 78% |
| Brand New Day | $4 - $6 | 78% |
| Care 1St Mcl/Gar Cap Reciprocity | $4 | 78% |
| Central Health Plan | $4 - $131 | 78% |
| Community Health Plan | $4 | 78% |
| Emanate Health | $4 - $6 | 78% |
| Health Net | $4 - $276 | 78% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $4 - $131 | 78% |
| Health Net Foundation M Cal (Family Health Alliance) | $4 - $131 | 78% |
| Healthy Way La | $4 | 78% |
| La Care Health Plan | $4 - $180 | 78% |
| Molina Medical Group | $4 - $128 | 78% |
| Other Non-Contracting Medi-Cal | $4 | 78% |
| Phys Assoc Of San Gab Valley | $4 - $131 | 78% |
| Physicians Healthways Medi-Cal | $4 - $328 | 78% |
| Veterans Administration | $4 | 78% |
| Advantage Care Ipa | $5 - $328 | 98% |
| Aetna | $5 - $239 | 98% |
| Aids Health Foundation | $5 | 98% |
| Alhambra Hospital | $5 - $197 | 98% |
| Alignment Health Plan | $5 | 98% |
| Apa Aco Inc | $5 | 98% |
| Avanti | $5 - $6 | 98% |
| Blue Shield | $5 - $72 | 98% |
| Care 1St Health Plan | $5 - $197 | 98% |
| Cms | $5 | 98% |
| Cv-19 Hrsa Uninsured Testing And Tx | $5 | 98% |
| Easy Choice Health Plan | $5 | 98% |
| First Health Network | $5 - $230 | 98% |
| Health Net Comm/Hmo | $5 - $180 | 98% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $5 | 98% |
| Hollywood Presbyterian Medpoint Mcal | $5 | 98% |
| Humana | $5 | 98% |
| Inter Valley Health Plan | $5 | 98% |
| Interplan | $5 - $246 | 98% |
| La Care Covered Direct | $5 | 98% |
| Molina Healthcare | $5 | 98% |
| Molina Healthcare Of California | $5 - $6 | 98% |
| Non-Contract Medi-Care | $5 | 98% |
| Pacific Alliance Medical Center Comm/Sr | $5 | 98% |
| Physicians Healthways Medical Corporation | $5 - $328 | 98% |
| Scan Health Plan Sr Hmo | $5 | 98% |
| Self-Pay | $5 | 98% |
| State Of California Medi-Cal | $5 | 98% |
| Ucla Impact Dept Of Uncology | $5 | 98% |
| UnitedHealthcare | $5 - $197 | 98% |
| Ahmc Health Epo | $6 | 117% |
| Athens Administrators | $6 | 117% |
| Chinatown Service Center Pace | $6 | 117% |
| Cigna | $6 | 117% |
| Knox-Keene Act | $6 | 117% |
| Multiplan | $6 - $279 | 117% |
| National Disaster Medical System | $6 | 117% |
| One Health Plan | $6 - $230 | 117% |
| Other Non-Contracted Workers Compensation | $6 | 117% |
| Physician Healthways Medical Corporation | $6 | 117% |
| Preferred Health Network | $6 | 117% |
| San Miguel Health Plan | $6 | 117% |
| Corvel Corporation | $7 - $262 | 137% |
| Fmc Los Angeles Co Epo | $7 - $246 | 137% |
| Americas Health Plan | $8 - $279 | 156% |
| Caloptima Direct | $8 | 156% |
| Health Net Inc | $8 | 156% |
| Health Payors Organization | $8 - $295 | 156% |
| East La Reg Ctr | $9 - $328 | 176% |
| Non Contract Commercial | $9 - $328 | 176% |
| One Legacy | $9 - $328 | 176% |
| Private Pay | $9 - $328 | 176% |
| Pacificare Of California Inc | $10 | 195% |
| Pacificare Ppo | $10 | 195% |
| Care First Health Plan | $33 | 645% |