CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medstar Union Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medstar Union Memorial Hospital is $7. 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 1.37x the Medicare baseline. Located in 201 East University Parkway, Baltimore, MD.
Cash / Self-Pay
$7

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: $7 (137%)
Insurance Median: $7 (137%)
Cash: $7 (137% 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
Aetna $7 137%
Amerigroup $7 137%
Amerihealth Caritas District Of Columbia $7 137%
Carefirst Advantage Inc $7 137%
Carefirst Blue Choice Inc $7 137%
Cigna $7 137%
First Health $7 137%
Hscsn $7 137%
Humana $7 137%
Kaiser Permanente $7 137%
Magellan Behavioral Health Inc $7 137%
Mamsi $7 137%
Medstar Family Choice $7 137%
Medstar Family Choice Inc $7 137%
Ncppo Healthlink Ppo $7 137%
Pfc $7 137%
Private Healthcare Systems (Phcs) $7 137%
Tricare $7 137%
United Behavioral Health Inc $7 137%
UnitedHealthcare $7 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 East University Parkway, Baltimore, MD 21218
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals