CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Houston Healthcare Conroe

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $671
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Houston Healthcare Conroe is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $671. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$671

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $671 (13105%)
Insurance Median: $6 (117%)
Cash: $671 (13105% of Medicare)
Ins. Median: $6 (117% 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%
Liberty County Indigent $4 78%
Texas Childrens Health Plans $4 - $137 78%
Texas Health Network $4 78%
United $4 - $302 78%
Aetna $5 - $34 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $235 98%
Cigna $5 - $27 98%
Devoted Health $5 98%
Geo Group - Joe Corley Detention Facility $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%
Shared Health $5 98%
Superior Health Plan $5 - $40 98%
Triwest Healthcare Alliance $5 98%
Van Lang Ipa $5 98%
Wellcare $5 98%
Wellmed $5 98%
Christus (Usfhp) $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%
Tx Workforce Commission $161 3145%
Evry Health $183 3574%
Imagine Health $235 4590%
Healthsmart Preferred Care $288 - $570 5625%
Averde Health $302 5898%
Fidelis Securecare Of Tx $302 5898%
Coventry National First Health $357 6973%
Physicians Cooperative Of Texas $369 7207%
Rockport Workers Comp $369 7207%
Independent Medical System $402 7852%
National Healthcare Solutions $402 7852%
Southwest Medical $402 7852%
Coastal Comp $436 8516%
Multiplan $503 - $570 9824%
Physicians, Inc $570 11133%
Affiliated Ppo $604 11797%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals