CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $351
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Southern Hills Hospital and Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $351. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$351

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: $351 (6855%)
Insurance Median: $5 (98%)
Cash: $351 (6855% 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
Ambetter / Centene $4 - $5 78%
Caresource $4 78%
Community Care Health $4 78%
Molina Healthcare $4 78%
Sierra Hpn $4 78%
Alignment Health Plan $5 98%
Blue Cross Blue Shield $5 - $6 98%
Caremore $5 98%
Health Net $5 98%
Health Services Coalition $5 98%
Hometown Health Mcr $5 98%
Humana $5 98%
Select Health $5 - $81 98%
Sierra $5 98%
Triwest $5 98%
United $5 - $77 98%
Imperial Nv $6 117%
Universal Healthcare $6 117%
Aetna $8 156%
Cigna $13 254%
Corvel $18 352%
Olympus Medsave Usa $19 - $263 371%
Prominence Healthfirst $105 2051%
Cmn Global $147 2871%
Evernorth $176 3438%
Hometown Health Providers $176 3438%
Nv Health & Welfare Trust $211 4121%
Multiplan $221 - $256 4316%
First Health $232 - $281 4531%
Medcare International $263 5137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals