CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Coastal Communities Hospital
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 Coastal Communities Hospital 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 2701 S Bristol St, Santa Ana, 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
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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 |
|---|---|---|
| Altamed Health Services | $5 - $7 | 98% |
| Altamed Mcal Hmo (Ancillary) | $5 | 98% |
| Blue Shield | $5 - $20 | 98% |
| Caloptima | $5 - $7 | 98% |
| Central Health Plan Of California | $5 | 98% |
| Champion Health Plan | $5 | 98% |
| Champus | $5 | 98% |
| Choice Physicians Network | $5 | 98% |
| Citizens Choice Health Plan | $5 | 98% |
| Clever Care Health Plan | $5 | 98% |
| Easy Choice Health Plan | $5 | 98% |
| For Your Benefit | $5 | 98% |
| Health Net | $5 - $20 | 98% |
| Healthcare Partners | $5 | 98% |
| Healthcare Partners Sr Hmo | $5 | 98% |
| Heritage | $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% |
| Kpc Healthcare Inc | $5 - $7 | 98% |
| Medcare Partners | $5 | 98% |
| Medi-Cal Hmo/Non Contract | $5 | 98% |
| Medicaid / KanCare | $5 | 98% |
| Monarch | $5 | 98% |
| Onecare | $5 | 98% |
| Onecare Connect | $5 | 98% |
| Other Senior Non Contract | $5 | 98% |
| Prospect Health Plan | $5 - $8 | 98% |
| Scan Health Plan | $5 | 98% |
| Self Pay Ab774/Cbo Use Only | $5 | 98% |
| UnitedHealthcare | $5 | 98% |
| Us Dept Of Labor | $5 | 98% |
| Us Federal Marshall/Department Of Immigration | $5 | 98% |
| Velocity Provider Network Sr | $5 | 98% |
| Verda Health Plan Sr | $5 | 98% |
| Veterans Administration | $5 | 98% |
| Victim Of Violent Crime | $5 | 98% |
| Victoria Hospice | $5 | 98% |
| Brand New Day | $6 | 117% |
| County Of Orange/Custody/Advanced Medmgt | $6 | 117% |
| Coventry Auto Network | $6 | 117% |
| Coventry Wc | $6 | 117% |
| Interplan | $6 - $21 | 117% |
| Monarch Health Plan | $6 | 117% |
| Multiplan | $6 - $20 | 117% |
| Prime Health Srvs | $6 - $22 | 117% |
| Prime Health Srvs/Wc | $6 | 117% |
| Three Rivers | $6 | 117% |
| Velocity National Provider Network Wc | $6 | 117% |
| Veterans Evaluation Services | $6 | 117% |
| Workers Comp State Of California | $6 | 117% |
| Choc Health Alliance | $7 | 137% |
| County Of Orange | $7 | 137% |
| Family Choice | $7 | 137% |
| Heritage Provider Network | $7 - $17 | 137% |
| Staywell/Island Home Ins | $7 | 137% |
| Ihhi Reciprocity | $8 | 156% |
| Three Rivers Network | $9 | 176% |
| Velocity National Provider Network Ppo | $9 | 176% |
| Cigna | $10 - $18 | 195% |
| First Health | $15 | 293% |
| Aetna | $17 | 332% |
| Magellan | $17 | 332% |
| Networks By Design | $20 | 391% |
| Networks By Design Wc | $20 | 391% |
| Healthsmart | $21 | 410% |
| Prime Health | $21 | 410% |
| Pnoa-Provider Network Of America | $22 | 430% |
| Prime Health Srvs/Network | $24 | 469% |
| Lucet Behavioral Health Sr | $28 | 547% |
| Managed Health Network | $28 | 547% |
| Other Insurance Loa | $28 | 547% |
| Other Non Contracted Plans | $28 | 547% |
| Private Pay | $28 | 547% |
| Us Behavioral Health Plan | $28 | 547% |
| Vitas Hospice | $28 | 547% |