CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Temple University Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $11
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.15x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Temple University Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 2.15x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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%)
Insurance Median: $11 (215%)
Ins. Median: $11 (215% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 215% of the Medicare baseline (a markup of 115%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $5 - $124 98%
Blue Cross Blue Shield $5 - $129 98%
Cigna $5 98%
Clover Health $5 98%
Health Partners Plans $5 98%
Humana $5 98%
Innovage $5 98%
Keystone First $5 - $16 98%
UnitedHealthcare $5 - $156 98%
Upmc Health Plan $5 - $14 98%
Amerihealth Caritas $6 117%
Elder Health $6 117%
Gateway Health Plan $6 117%
Geisinger $6 - $126 117%
Pennsylvania Health And Wellness $6 - $14 117%
Wtc Health Program $6 117%
Naphcare $8 156%
Occunet $8 156%
Oscar Health $8 156%
Prime Health Services $8 156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3401 North Broad Street, Philadelphia, PA 19140
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals