CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Anaheim Global Medical Center
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $6
- Cash Discount Price: $28
- vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Anaheim Global Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$28
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: $28 (547%)
Insurance Median: $6 (117%)
Cash: $28 (547% 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
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 |
|---|---|---|
| Medi-Cal Hmo/Non Contract | $4 | 78% |
| Aetna | $5 - $17 | 98% |
| Altamed | $5 - $7 | 98% |
| Altamed Mcal Hmo (Ancillary) | $5 | 98% |
| Altamed Health Services | $5 | 98% |
| Astiva | $5 | 98% |
| Blue Shield Of California | $5 - $20 | 98% |
| Brand New Day | $5 - $6 | 98% |
| California Health Plan | $5 | 98% |
| Caloptima | $5 - $7 | 98% |
| Central Health Plan Of California Inc | $5 | 98% |
| Champion Health Plan | $5 | 98% |
| Champus | $5 | 98% |
| Choice Physicians Network | $5 | 98% |
| Citizens Choice | $5 | 98% |
| Clever Care Health Plan | $5 | 98% |
| Easy Choice | $5 | 98% |
| For Your Benefit | $5 | 98% |
| Health Net Inc | $5 - $19 | 98% |
| Healthcare Partners | $5 | 98% |
| Healthcare Partners Sr Hmo | $5 | 98% |
| Heritage Provider Network | $5 - $17 | 98% |
| Hollywood Presbyerian | $5 | 98% |
| Hollywood Presbyterian | $5 | 98% |
| Humana | $5 | 98% |
| Imperial Health Plan Of Ca | $5 | 98% |
| Innovative Integrated Health | $5 | 98% |
| Kaiser | $5 - $17 | 98% |
| Medcare Partners Health Plan | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Monarch | $5 | 98% |
| Monarch Health Plan | $5 - $6 | 98% |
| Onecare | $5 | 98% |
| Other Sr Non Contract | $5 | 98% |
| Physicians For Healthy Hospitals | $5 | 98% |
| Prime Health Services | $5 - $24 | 98% |
| Prospect Health Plan | $5 - $8 | 98% |
| Scan | $5 | 98% |
| Self Pay/Ab774/Cbo Use Only | $5 | 98% |
| St Joseph Hospital Sr | $5 | 98% |
| State Of California | $5 - $6 | 98% |
| UnitedHealthcare | $5 | 98% |
| Us Dept Of Labor | $5 | 98% |
| Us Federal Marshall/Department Of Immigration | $5 | 98% |
| Velocity National Provider Network Sr | $5 | 98% |
| Verda Health Plan | $5 | 98% |
| Veterans Administration | $5 | 98% |
| Victim Of Violent Crime | $5 | 98% |
| Victim Of Violent Crime (Mep) | $5 | 98% |
| Victoria Hospice | $5 | 98% |
| Align Sr Care | $6 | 117% |
| County Of Orange | $6 - $28 | 117% |
| Coventry Health | $6 | 117% |
| Healthcare Partners Hmo | $6 | 117% |
| Interplan | $6 - $21 | 117% |
| Multiplan | $6 - $20 | 117% |
| Three Rivers Network | $6 - $9 | 117% |
| Velocity National Provider Network Wc | $6 | 117% |
| Veterans Evaluation Services | $6 | 117% |
| Choc Health Alliance | $7 | 137% |
| Family Choice Mcal | $7 | 137% |
| Staywell/Island Home Ins | $7 | 137% |
| Ihhi Reciprocity | $8 | 156% |
| Naphcare | $8 | 156% |
| Health Net | $9 - $20 | 176% |
| Velocity National Provider Network Ppo | $9 | 176% |
| Cigna | $10 - $22 | 195% |
| Velocity National Provider Network Auto Med Ppo | $13 | 254% |
| First Health | $15 | 293% |
| Magellan Behavioral Health | $17 | 332% |
| Primecare Medical Network Inc | $17 | 332% |
| Networks By Design | $20 | 391% |
| Healthsmart Preferred Network | $21 | 410% |
| Provider Network Of America | $22 | 430% |
| Ahmc Healthcare | $28 | 547% |
| Lucet Bh Scan Sr | $28 | 547% |
| Managed Health Network | $28 | 547% |
| Other Insurance Loa | $28 | 547% |
| Other Non Contracted Plans | $28 | 547% |
| Private Pay | $28 | 547% |
| Usbhpc | $28 | 547% |