CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Methodist Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Methodist Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 7700 Floyd Curl Dr, San Antonio, TX.
Cash / Self-Pay
$202

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: $202 (3945%)
Insurance Median: $8 (156%)
Cash: $202 (3945% 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
Amerigroup $4 - $28 78%
Community First Health Plans $4 - $54 78%
United $4 - $91 78%
Usa Managed Care Chip $4 78%
Aetna $5 98%
American Health Plan Of Texas $5 98%
Blue Cross Blue Shield $5 - $59 98%
Clover Insurance $5 98%
Devoted Health $5 98%
Gonzaba Medical Group $5 98%
Humana $5 - $131 98%
Ilumed $5 98%
Integranet $5 98%
Lighthouse Hospice $5 98%
Molina Healthcare $5 - $8 98%
Superior Health $5 - $10 98%
Texas Independent Health Plan $5 98%
Triwest $5 98%
Triwest Va Pccc $5 98%
UnitedHealthcare $5 - $202 98%
Wellcare $5 98%
Wellmed $5 98%
Triwest Health Alliance $6 117%
Value Options $6 117%
Focus Healthcare Management $7 137%
Cigna $8 - $58 156%
Superior $8 156%
Focus Health Solutions $12 234%
Healthcare Highways $12 234%
Oscar $14 273%
Imperial Insurance $38 742%
Valenz $71 1387%
Evry Health $74 1445%
Fidelis Securecare $91 1777%
Emerging Therapy Solutions $99 - $135 1934%
Evernorth Behavioral Health $101 1973%
National Choicecare $101 1973%
Texas Healthcare Foundation Heb $101 1973%
Tx Healthcare Foundation $101 1973%
Healthsmart Preferred Care $111 2168%
Independent Medical Systems $111 2168%
Physician Cooperative Of Texas $111 2168%
Haa Preferred Partners $121 2363%
San Antonio Employers Health Alliance $121 2363%
Coastal Comp Health Networks $131 2559%
National Healthcare Solutions $131 2559%
Tml Intergovernmental Ebp $141 2754%
Multiplan $151 - $171 2949%
Usa Managed Care $151 - $161 2949%
Blue Bell $161 3145%
Directcare America $161 3145%
Managed Healthcare $171 3340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7700 Floyd Curl Dr, San Antonio, TX 78229
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals