Blood test, creatinine (kidney)
Facility: Valley Children's Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $13
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.54x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 254% of the Medicare baseline (a markup of 154%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Allcare Ipa | $1 - $11 | 20% |
| Central Valley Medical Providers Ipa | $1 - $62 | 20% |
| Dignity Health Central Coast | $1 - $61 | 20% |
| United Physicians Network Ipa | $1 - $11 | 20% |
| Aetna | $2 - $82 | 39% |
| Bakersfield Family Medical Group | $2 - $92 | 39% |
| Blue Cross Blue Shield | $2 - $51 | 39% |
| Blue Shield | $2 - $93 | 39% |
| Community Care Health Plan | $2 - $98 | 39% |
| Community Health | $2 - $68 | 39% |
| Dignity (Formerly Managed Care Systems) | $2 - $77 | 39% |
| First Health Formerly Coventry | $2 - $91 | 39% |
| Fowler Packing | $2 - $76 | 39% |
| Health Net | $2 - $81 | 39% |
| Health Plan Of San Joaquin | $2 - $74 | 39% |
| Health Smart | $2 - $98 | 39% |
| Kaiser | $2 - $80 | 39% |
| Kern Legacy | $2 - $80 | 39% |
| Key Medical Ipa | $2 - $98 | 39% |
| Network By Design | $2 - $95 | 39% |
| Physicians Choice Medical Group | $2 - $69 | 39% |
| Stanislaus Partners In Health | $2 - $68 | 39% |
| Sutter Health | $2 - $105 | 39% |
| UnitedHealthcare | $2 - $132 | 39% |
| Multiplan | $3 - $118 | 59% |
| Central California Alliance For Health | $10 | 195% |
| Dignity Ipa_Formerly Img | $10 | 195% |
| La Salle Ipa | $10 | 195% |
| Sante Ipa | $10 | 195% |
| Community Care Ipa | $11 | 215% |
| Sequoia Health Ipa | $11 | 215% |
| Univseral Healthcare Ipa | $11 | 215% |
| Adventist | $13 | 254% |
| Cencal Health | $14 | 273% |
| Kern Family Health Care | $15 | 293% |