CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Adventist Health Tulare

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Adventist Health Tulare is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$38

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: $38 (742%)
Insurance Median: $7 (137%)
Cash: $38 (742% 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

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
Blue Cross Blue Shield $1 - $52 20%
Blue Shield Epn $1 - $97 20%
Blue Shield-All Other Plans $2 - $134 39%
Cigna $2 - $142 39%
Western Growers - All Plans $2 - $141 39%
Hs Interplan-All Plans $3 - $205 59%
Network By Design-All Plans $3 - $199 59%
UnitedHealthcare $3 - $222 59%
Ccipa Medi-Cal - All Plans $4 - $8 78%
Dignity Mcal Op Only $4 - $6 78%
Healthnet Medi-Cal $4 - $8 78%
Independence Op Only - All Plans $4 - $6 78%
Medi-Cal $4 - $6 78%
Multiplan - All Plans $4 - $260 78%
Blue Shield Mcare $5 98%
Dignity Mcr Op Only - All Other Plans $5 98%
Fhcn Pace Mcr Adv - All Plans $5 98%
Medicare (plans) $5 98%
Prime Health - All Plans $5 98%
Tricare $5 98%
Bright Health - All Plans $7 137%
Cal Forensic Med Grp - All Plans $7 137%
Prison Hlthcre - All Plans $7 137%
Ah Employee Health Plan - All Plans $9 176%
Incentive Hlth - All Plans $9 176%
Healthnet Hmo/Ppo - All Other Plans $14 273%
Aetna $44 859%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals