CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: OHSU Hospital and Clinics

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at OHSU Hospital and Clinics is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$33

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: $33 (645%)
Insurance Median: $9 (176%)
Cash: $33 (645% 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
Care Oregon $4 - $6 78%
Intercommunity Health Network $4 78%
Kaiser Foundation Hospitals $4 - $12 78%
Medicare (plans) $4 - $8 78%
Pacific Source $4 - $40 78%
Humana $5 98%
Moda $5 - $40 98%
Samaritan Health Plan $5 - $13 98%
Trillium $5 98%
UnitedHealthcare $5 - $9 98%
Aetna $6 - $22 117%
Health Net Health Plan Of Oregon, Inc. $6 - $50 117%
Providence Health Plan $6 - $15 117%
Community Health Plan Of Washington $7 - $12 137%
Cigna $15 293%
Blue Cross Blue Shield $18 352%
Tuality Health $25 - $42 488%
Coventry First Health $28 - $49 547%
First Choice $29 - $49 566%
Molina Exchange $38 - $65 742%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals