CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical City Dallas Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $784
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical City Dallas Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $784. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$784

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: $784 (15313%)
Insurance Median: $8 (156%)
Cash: $784 (15313% 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
Cook Childrens Health Plan $3 59%
Amerigroup $4 - $5 78%
Parkland Community Health Plan $4 78%
Texas Health Network $4 78%
United $4 - $169 78%
Aetna $5 - $462 98%
American Health Plan Of Texas, Inc. $5 98%
Blue Cross Blue Shield $5 - $348 98%
Care N Care $5 98%
Cigna $5 - $431 98%
Devoted Health $5 98%
Humana $5 - $57 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 - $55 98%
Texas Independent Health Plan $5 98%
Triwest Veterans $5 98%
Wellcare $5 98%
Wellmed $5 98%
Imperial Insurance Company $6 117%
Triwest Health Alliance $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 - $627 195%
Molina Healthcare $13 254%
Oscar $13 254%
UnitedHealthcare $86 - $698 1680%
Religious Order Of Jehovah Witness $157 3066%
Unicare $188 - $784 3672%
Healthcare Highways $192 - $265 3750%
Healthcare Highways Ntx $200 - $274 3906%
Evry Health $202 3945%
Prominence Health Plan $314 6133%
City Of Mckinney $353 6895%
Fidelis Securecare $353 6895%
Emerging Therapy Solutions $384 - $549 7500%
National Choicecare $392 7656%
Pc Texas Partners $431 8418%
Physicians Coop Of Tx $431 8418%
Rockport Health Group $431 8418%
Texas Instruments $439 8574%
Averde Health, Inc $455 8887%
Coastal Comp Health Networks $549 10723%
Mega Life $549 10723%
Multiplan Phcs $549 10723%
Healthsmart Preferred Care $557 10879%
Lewisville Isd/Dls Consulting $588 11484%
Usc Health Services $627 12246%
Galaxy Health Network $667 13027%
Independent Medical Systems $784 15313%
National Healthcare Solutions $784 15313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals