CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $23 (449%)
Insurance Median: $8 (156%)
Cash: $23 (449% of Medicare)
Ins. Median: $8 (156% 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
Blue Cross Blue Shield $2 - $46 39%
United Options Nexus $3 - $5 59%
UnitedHealthcare $3 - $49 59%
Molina $4 - $5 78%
Parkland $4 78%
Superior $4 - $5 78%
Wellpoint $4 - $20 78%
Aetna $5 - $28 98%
Ambetter / Centene $5 98%
Cigna $5 - $50 98%
Humana $5 98%
Procare $5 98%
Rockwall County $6 - $48 117%
Quiktrip $7 - $43 137%
Galaxy Health Network $8 - $60 156%
Multiplan $8 - $59 156%
Healthsmart $9 - $56 176%
Healthfirst $10 - $38 195%
Maestro Health/Fort Worth Firefighters $11 - $36 215%
Coventry $12 - $48 234%
Phcs $18 - $55 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals