CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Houston Healthcare West

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $553
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Houston Healthcare West is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$553

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: $553 (10801%)
Insurance Median: $6 (117%)
Cash: $553 (10801% 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%
Texas Childrens Health Plans $4 - $92 78%
Texas Health Network $4 78%
United $4 - $249 78%
Aetna $5 - $34 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $194 98%
Chc Harris Health $5 98%
Cigna $5 - $442 98%
Devoted Health $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%
Renaissance Ipa Radiology $5 98%
Shared Health $5 98%
Superior Health Plan $5 - $33 98%
Triwest Healthcare Alliance $5 98%
Van Lang Ipa $5 98%
Wellcare $5 98%
Wellmed $5 98%
Christus (Usfhp) $6 117%
Molina $6 117%
Triwest Health Alliance $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%
Texas Workforce Commission $133 2598%
Evry Health $151 2949%
Imagine Health $194 3789%
Healthsmart Preferred Care $238 - $470 4648%
Averde Health $249 4863%
Fidelis Securecare Of Tx $249 4863%
Coventry National First Health $295 5762%
Physicians Cooperative Of Texas $304 5938%
Rockport Workers Comp $304 5938%
Independent Medical System $332 6484%
National Healthcare Solutions $332 6484%
Southwest Medical $332 6484%
Triumph $332 6484%
Coastal Comp $359 7012%
Multiplan $415 - $470 8105%
Physicians, Inc $470 9180%
Affiliated Ppo $498 9727%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals