CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical City North Hills

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $341
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical City North Hills is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $341. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$341

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: $341 (6660%)
Insurance Median: $8 (156%)
Cash: $341 (6660% 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
Cook Childrens Health Plan $3 59%
Amerigroup $4 - $5 78%
Parkland Community Health Plan $4 78%
United $4 - $73 78%
Aetna $5 - $248 98%
American Health Plan Of Texas, Inc. $5 98%
Blue Cross Blue Shield $5 - $151 98%
Care N Care $5 98%
Cigna $5 - $273 98%
Devoted Health $5 98%
Humana $5 - $57 98%
Integranet $5 98%
Molina $5 - $6 98%
Mutual Of Omaha $5 98%
Procare Advantge $5 98%
Provider Partners Health Plan $5 98%
Superior Health Plan $5 - $24 98%
Texas Independent Health Plan $5 98%
Triwest Veterans $5 98%
Wellcare $5 98%
Wellmed $5 98%
Cenpatico $6 117%
Imperial Insurance Company $6 117%
Triwest Health Alliance $6 117%
Universal Healthcare Group $6 117%
Verda Health Plan $7 137%
Bravo Health $8 156%
Superior $9 - $11 176%
Corvel Corporation $10 195%
Usa Managed Care $10 - $273 195%
Molina Healthcare $13 254%
Oscar $13 254%
Unicare $72 - $341 1406%
Healthcare Highways $84 - $115 1641%
Evry Health $88 1719%
City Of Mckinney $153 2988%
Fidelis Securecare $153 2988%
National Choicecare $170 3320%
Pc Texas Partners $188 3672%
Physicians Coop Of Tx $188 3672%
Rockport Health Group $188 3672%
Averde Health, Inc $198 3867%
Magellan Behavior Health $205 4004%
Coastal Comp Health Networks $239 4668%
Mega Life $239 4668%
Multiplan Phcs $239 4668%
Healthsmart Preferred Care $256 5000%
Lewisville Isd/Dls Consulting $256 5000%
Usc Health Services $273 5332%
Galaxy Health Network $290 5664%
Independent Medical Systems $341 6660%
National Healthcare Solutions $341 6660%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals