CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $30
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.86x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at University of Texas M. D. Anderson Cancer Center is $30. 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 5.86x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $30 (586%)
Ins. Median: $30 (586% 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 586% of the Medicare baseline (a markup of 486%). 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
Texaschildrens $4 - $28 78%
Medicare (plans) $15 - $28 293%
Vacare $15 - $28 293%
Memorialhermannhealth $23 - $48 449%
Blue Cross Blue Shield $24 - $46 469%
Cigna $24 - $48 469%
UnitedHealthcare $24 - $48 469%
Aetna $25 - $48 488%
Beijingst.Lucia $26 - $48 508%
Embassyofqatar $26 - $48 508%
Emergingtherapysolutions $26 - $51 508%
Humana $26 - $49 508%
Interlink $26 - $54 508%
Ontarioministriesofhealth $26 - $47 508%
Tricare $26 - $48 508%
Emergingtherapysolutions_Cancercare $28 - $51 547%
Interlink_Cancercare $28 - $51 547%
Saudiarmedforces $28 - $51 547%
Uae_Medical $28 - $51 547%
Uaepoliceattache $28 - $51 547%
Healthsmart $30 - $54 586%
Multiplan $30 - $55 586%
Phcs $30 - $55 586%
Vantage $30 - $54 586%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL