CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Methodist Richardson Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Methodist Richardson Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 2831 E President George Bush Highway, Richardson, TX.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $63 (1230%)
Insurance Median: $7 (137%)
Cash: $63 (1230% of Medicare)
Ins. Median: $7 (137% 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
Medicaid / KanCare $4 - $18 78%
UnitedHealthcare $4 - $5 78%
Aetna $5 - $8 98%
American Health Advantage Of Texas [7099] $5 98%
Blue Cross Blue Shield $5 - $19 98%
Cigna $5 - $9 98%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $5 98%
Globalhealth [1003] $5 98%
Humana $5 98%
Medicare (plans) $5 98%
Procare Advantage [7018] $5 98%
Southwestern Health Resources Swhr [7015] $5 98%
Ust Health Proof [1005] $5 98%
Wellcare [7016] $5 98%
Alternative Service Concepts [8005] $6 117%
Coralvita [9216] $6 117%
Provider Partners Health Plan [7025] $6 117%
Bright Healthcare [2222] $7 137%
Molina [3017] $7 137%
Oscar Insurance Company [2057] $7 137%
90 Degree Benefit [3057] $8 156%
Allied National [2031] $8 156%
Entrust/90 Degree [2058] $8 156%
Wellpoint Marketplace Exchange [3071] $8 156%
Ambetter / Centene $9 176%
Friday Health Plan [2061] $9 176%
Imperial Insurance Companies [3073] $9 176%
Web Tpa [3049] $9 176%
Evry Health [1013] $10 195%
Sana Benefits [3069] $10 195%
Velocity [3070] $10 195%
Health Plans Inc [5017] $13 254%
Medical Cost Containment Professionals [3059] $13 254%
Dart Member Care [3039] $14 273%
Healthscope Benefits [2052] $14 273%
Healthscope Benefits [3063] $14 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2831 E President George Bush Highway, Richardson, TX 75082
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals