CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical Center of McKinney

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $669
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical Center of McKinney is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $669. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$669

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: $669 (13066%)
Insurance Median: $8 (156%)
Cash: $669 (13066% 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 - $5 78%
Parkland Community Health Plan $4 78%
United $4 - $125 78%
Aetna $5 - $486 98%
American Health Plan Of Texas, Inc. $5 98%
Blue Cross Blue Shield $5 - $297 98%
Care N Care $5 98%
Cigna $5 - $535 98%
Devoted Health $5 98%
Humana $5 - $435 98%
Integranet $5 98%
Molina $5 - $6 98%
Mutual Of Omaha $5 98%
Procare Advantge $5 98%
Provider Partners Health Plan $5 98%
Superior Health Plan $5 - $47 98%
Texas Independent Health Plan $5 98%
Triwest Veterans $5 98%
Wellcare $5 98%
Wellmed $5 98%
Cenpatico $6 117%
Imperial Insurance Company $6 117%
Universal Healthcare Group $6 117%
Verda Health Plan $7 137%
Bravo Health $8 156%
Superior $9 - $11 176%
Corvel Corporation $10 195%
Usa Managed Care $10 - $535 195%
Molina Healthcare $13 254%
Oscar $13 254%
Healthcare Highways $164 - $226 3203%
Evry Health $173 3379%
Unicare $174 - $669 3398%
City Of Mckinney $234 4570%
Fidelis Securecare $301 5879%
National Choicecare $335 6543%
Pc Texas Partners $368 7188%
Physicians Coop Of Tx $368 7188%
Rockport Health Group $368 7188%
Averde Health, Inc $388 7578%
Magellan Bh $401 7832%
Value Options Behavioral Health $401 7832%
Coastal Comp Health Networks $468 9141%
Mega Life $468 9141%
Multiplan Phcs $468 9141%
Lewisville Isd/Dls Consulting $502 9805%
Compsych Corporation $535 10449%
Healthsmart Preferred Care $535 10449%
Galaxy Health Network $569 11113%
Independent Medical Systems $669 13066%
National Healthcare Solutions $669 13066%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals