CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Hospital of the Fox Chase Cancer Center is $13. 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 2.54x the Medicare baseline. Located in 333 Cottman Avenue, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $13 (254%)
Ins. Median: $13 (254% 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 254% of the Medicare baseline (a markup of 154%). 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
Blue Cross Blue Shield $2 - $116 39%
Clover Health $5 98%
Health Partners Plans $5 98%
Humana $5 98%
Aetna $6 - $95 117%
Cigna $6 117%
Elder Health $6 117%
Innovage $6 117%
Keystone First $6 - $14 117%
Pennsylvania Health And Wellness $6 - $14 117%
Upmc Health Plan $6 - $14 117%
Wtc Health Program $7 137%
Oscar Health $8 156%
Prime Health Services $8 156%
UnitedHealthcare $10 - $267 195%
Qualcare $37 - $285 723%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Cottman Avenue, Philadelphia, PA 19111
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL