CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Knapp Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $5
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Knapp Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (98%)
Insurance Median: $5 (98%)
Cash: $5 (98% of Medicare)
Ins. Median: $5 (98% 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
Corvel $4 78%
Provider Network Of America $4 78%
Provider Select $4 78%
Superior Health Plan $4 - $9 78%
UnitedHealthcare $4 - $9 78%
Zelis Healthcare Fka Stratose $4 78%
Americas Choice Provider Network (Acpn) $5 98%
Blue Cross Blue Shield $5 - $18 98%
Cigna $5 - $9 98%
Coventry (First Health) $5 98%
Division Of Immigration Health $5 98%
Imperial Insurance Companies $5 98%
Medicare (plans) $5 98%
Molina $5 - $9 98%
Multiplan $5 98%
Prime Health Services $5 98%
Provider Partners Health Plan $5 98%
Texas Bluebonnet Health Plan $5 - $8 98%
Three Rivers $5 98%
Tricare $5 98%
Veterans Evaluation Services $5 98%
Wellmed Aarp Ma Fka Physicians Health Choice $5 98%
Worker Comp $5 98%
Texas Oncology Pa Op $6 117%
Employer Direct Healthcare $7 137%
Frontier Health (Fka Asserta Health) $7 137%
Magic Valley Electric Cooperative $7 137%
Corporate Remedies (Wc) $8 156%
Medicaid / KanCare $8 - $9 156%
Naphcare $8 156%
Occunet $9 176%
Baker Benefits Administrators $10 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals