CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Houston Healthcare Southeast

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $629
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Houston Healthcare Southeast is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$629

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $629 (12285%)
Insurance Median: $7 (137%)
Cash: $629 (12285% of Medicare)
Ins. Median: $7 (137% 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
Amerigroup $4 - $5 78%
Community Health Choice Mcd $4 78%
Texas Childrens Health Plans $4 - $111 78%
Texas Health Network $4 78%
United $4 - $283 78%
Aetna $5 - $34 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $220 98%
Chc Harris Health $5 98%
Cigna $5 - $503 98%
Devoted Health $5 98%
Humana $5 - $68 98%
Integranet Amerigroup Ipa $5 98%
Kelsey Seybold $5 98%
Molina Healthcare $5 - $11 98%
Oscar $5 - $15 98%
Procare Advantage $5 98%
Provider Partners Health Plan Of Texas $5 98%
Renaissance Ipa Radiology $5 98%
Shared Health $5 98%
Superior Health Plan $5 - $38 98%
Triwest Healthcare Alliance $5 98%
Van Lang Ipa $5 98%
Wellcare $5 98%
Wellmed $5 98%
Christus (Usfhp) $6 117%
Kindred Hospital $6 117%
Molina $6 117%
Universal Healthcare Group $6 117%
Community Health Choice $7 137%
Superior $7 - $8 137%
Verda Health Plan $7 137%
Corvel Corporation $10 195%
Omni Healthcare $11 215%
Healthcare Highways $15 293%
Texas Workforce Commission $151 2949%
Evry Health $172 3359%
Imagine Health $220 4297%
Healthsmart Preferred Care $271 - $535 5293%
Averde Health $283 5527%
Fidelis Securecare Of Tx $283 5527%
Multiplan $315 - $566 6152%
Coventry National First Health $335 6543%
Physicians Cooperative Of Texas $346 6758%
Rockport Workers Comp $346 6758%
Beech Street $377 - $503 7363%
Independent Medical System $377 7363%
National Healthcare Solutions $377 7363%
Prime Health Services $377 7363%
Southwest Medical $377 7363%
Coastal Comp $409 7988%
Fiesta Mart, Inc $472 9219%
Physicians, Inc $535 10449%
Affiliated Ppo $566 11055%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals