CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $42
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 8.20x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Las Palmas Medical Center A Campus of Lpds Healthc is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 8.20x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $289 (5645%)
Insurance Median: $42 (820%)
Cash: $289 (5645% of Medicare)
Ins. Median: $42 (820% 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 820% of the Medicare baseline (a markup of 720%). 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%
Centennial Care $4 78%
El Paso First Health Plans $4 78%
St David’S Hospice $4 - $5 78%
United $4 - $230 78%
Western Sky Community Care $4 - $5 78%
Aetna $5 98%
Alignment Health Plan $5 98%
American Health Plan Of Texas $5 98%
Arcadian Health Plan $5 98%
Blue Cross Blue Shield $5 - $39 98%
Cigna $5 - $55 98%
Clover Insurance Company $5 98%
Devoted Health $5 98%
Humana $5 98%
Molina Healthcare $5 - $10 98%
Provider Partners Health Plan $5 98%
Pyramid Life $5 98%
Shared Health $5 98%
Superior Health Plan $5 - $31 98%
Triwest Healthcare Alliance $5 98%
UnitedHealthcare $5 - $13 98%
Wellcare Of Tx $5 98%
Wellmed $5 98%
Imperial Insurance $6 117%
Molina Healthcare Mcr $6 117%
Triwest Health Alliance $6 117%
Universal Health Pffs Nc $6 117%
Bravo Health $7 137%
Corvel Corporation $10 195%
Bienvivir Senior Health $13 - $87 254%
Healthcare Highways $15 - $98 293%
Oscar $17 332%
First Health $34 - $230 664%
Healthsmart Preferred Care $34 - $280 664%
Emerging Therapy Solutions $35 - $352 684%
Sheriff'S Dept El Paso County Detention $38 - $255 742%
Ysleta Del Sur Pueblo $38 - $255 742%
Southwest Medical Provider Network $42 - $280 820%
Advantage Care Network $46 - $306 898%
El Paso First Health Plan $46 - $306 898%
Prime Health $46 - $306 898%
Texas Workforce Commission $48 - $321 938%
Multiplan $49 - $332 957%
Phcs $49 - $332 957%
Integrated Medical Systems $53 - $357 1035%
Samsa $53 - $357 1035%
Danmark - International Contract $57 - $382 1113%
Galaxy Health Network $57 - $382 1113%
Medcorp Southwest $61 - $408 1191%
Usa Managed Care $62 - $484 1211%
Affiliated Healthcare $65 - $434 1270%
National Provider Network $68 - $459 1328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals