CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Casa Colina Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Casa Colina Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $7 (137%)
Insurance Median: $5 (98%)
Cash: $7 (137% of Medicare)
Ins. Median: $5 (98% 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
Heritage Prvdr Ntwrk Mcal $4 78%
Aetna $5 - $11 98%
Blue Cross Blue Shield $5 - $18 98%
Blue Shield Mcr Adv $5 98%
Caremore Mcr Adv - All Plans $5 98%
Central Hlth Plan - All Plans $5 98%
Doctors Managed Op Only - All Plans $5 98%
Empire Healthcare Op Only - All Plans $5 98%
Epic Comm - All Other Plans $5 98%
Epic Mcr Adv $5 98%
Focus Healthcare Wc - All Plans $5 98%
Healthnet Mcr Adv $5 98%
Humana $5 - $15 98%
Iehp - All Other Plans $5 98%
Iehp Mcr Adv $5 98%
Kaiser Comm - All Other Plans $5 98%
Kaiser Mcr Adv $5 98%
Premiercare Op Only - All Plans $5 98%
Promed Hlth Ntwrk Op Only - All Plans $5 98%
Prospect Hp Mcal $5 98%
Prospect Hp Mcr Adv $5 98%
Triwest - All Plans $5 98%
UnitedHealthcare $5 98%
Wellcare Mcr Adv - All Plans $5 98%
Affiliated Hlth Funds - All Plans $6 117%
Kaiser Mcal $6 117%
Medi-Cal $6 117%
Prospect Hp Comm - All Other Plans $6 117%
Cigna $8 156%
Heritage Prvdr Ntwrk Comm - All Other Plans $12 234%
Heritage Prvdr Ntwrk Mcr $12 234%
Healthnet Comm - All Other Plans $13 254%
Corvel - All Plans $15 293%
Coventry - All Plans $15 293%
Iehp Mcal $15 293%
Multiplan - All Plans $15 293%
Three Rivers - All Plans $15 293%
Brand New Day Mcr Adv - All Plans $18 352%
Blue Shield Comm - All Other Plans $22 430%
Galaxy Provdr Ntwrk - All Plans $22 430%
Healthcare Partners - All Other Plans $25 488%
Healthcare Partners Mcr $25 488%
Primecare Comm - All Other Plans $25 488%
Primecare Mcr Adv $25 488%
Prospect Med Grp Alta - All Plans $26 508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals