CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Hillsboro Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Hillsboro Medical Center is $6. 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 1.17x the Medicare baseline. Located in 335 Se 8Th Avenue, Hillsboro, OR.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (117%)
Cash: $33 (645% of Medicare)
Ins. Median: $6 (117% 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 - $15 78%
Medicare (plans) $4 - $6 78%
Pacific Source $4 - $11 78%
Community Health Plan Of Washington $5 - $65 98%
Humana $5 98%
Providence Health Plan $5 - $8 98%
Samaritan Health Plan $5 98%
Trillium $5 98%
UnitedHealthcare $5 - $8 98%
Aetna $6 - $14 117%
Health Net Health Plan Of Oregon, Inc. $6 - $43 117%
Moda $6 - $18 117%
Cigna $13 254%
Blue Cross Blue Shield $17 332%
Tuality Health $25 - $42 488%
First Choice $30 - $52 586%
Coventry First Health $32 - $55 625%
Molina Exchange $38 - $65 742%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 335 Se 8Th Avenue, Hillsboro, OR 97123
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals