CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Woodland Heights Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Woodland Heights Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$21

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: $21 (410%)
Insurance Median: $8 (156%)
Cash: $21 (410% 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
American Health Mcr Adv $5 98%
Blue Cross Blue Shield $5 - $25 98%
Humana $5 98%
Medicare (plans) $5 98%
Node Amerigroup Mcr Adv $5 98%
Node Procare Advantage $5 98%
Node Triwest $5 98%
Node Va $5 98%
Provider Partners Health Plan $5 98%
Self Pay $5 - $9 98%
Superior $5 - $7 98%
Tricare $5 - $6 98%
UnitedHealthcare $5 - $42 98%
Veterans Eval Services $5 98%
Department Of Veterans Affairs $6 117%
Node Us Dept Of Labor $6 117%
Medicaid / KanCare $7 - $10 137%
Angelina County $8 156%
Corporate Remedies $8 156%
Partners Direct Health $8 156%
Node Brookshire Brothers $9 176%
Node Brookshire Brothers Work Comp Tx $9 176%
Amerigroup $10 195%
Usa Managed Care $10 195%
Work Comp $10 195%
Cigna $15 293%
Texas Rehab Commission $24 469%
Aetna $50 - $80 977%
Multiplan $61 - $80 1191%
Unicare $66 1289%
Galaxy Health Network $80 1563%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals