CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: The Queens Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at The Queens Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 1301 Punchbowl St, Honolulu, HI.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $35 (684%)
Insurance Median: $9 (176%)
Cash: $35 (684% of Medicare)
Ins. Median: $9 (176% 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
Alohacare $5 - $258 98%
Hmsa $5 - $11 98%
Kaiser $5 - $14 98%
Ohana Care $5 98%
UnitedHealthcare $5 - $9 98%
Hawaii Community Health Alliance $8 156%
Hawaii Mainland Administrators $8 - $21 156%
Seven Corners $9 176%
Hawaii Laborers $12 234%
Hawaii Western Management Group $12 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 Punchbowl St, Honolulu, HI 96813
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals