CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Texas Health Arlington Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $56
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 10.94x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Texas Health Arlington Memorial Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 10.94x the Medicare baseline. Located in 800 W Randol Mill Rd, Arlington, TX.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $110 (2148%)
Insurance Median: $56 (1094%)
Cash: $110 (2148% of Medicare)
Ins. Median: $56 (1094% 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 1094% of the Medicare baseline (a markup of 994%). 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
Amerigroup $4 - $5 78%
Blue Cross Blue Shield $4 - $30 78%
Cook Childrens $4 78%
Parkland $4 78%
UnitedHealthcare $4 - $6 78%
Aetna $5 - $194 98%
American Health $5 98%
Healthspring $5 98%
Humana $5 98%
Molina $5 98%
Superior Wellcare $5 - $6 98%
Fort Worth Firefighters $10 - $169 195%
Cigna $21 - $261 410%
City Of Fort Worth $42 - $130 820%
Quick Trip $54 - $175 1055%
Phcs $62 - $206 1211%
Healthsmart $67 - $233 1309%
Multiplan $78 - $241 1523%
Galaxy $79 - $244 1543%
Usa $79 - $244 1543%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 W Randol Mill Rd, Arlington, TX 76012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals