CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $444
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Houston Healthcare Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$444

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: $444 (8672%)
Insurance Median: $6 (117%)
Cash: $444 (8672% 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
Community Health Choice Mcd $4 78%
United $4 - $272 78%
Aetna $5 - $34 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $211 98%
Cigna $5 - $27 98%
Devoted Health $5 98%
Humana $5 - $68 98%
Integranet Amerigroup Ipa $5 98%
Molina Healthcare $5 - $11 98%
Oscar $5 - $15 98%
Procare Advantage $5 98%
Provider Partners Health Plan Of Texas $5 98%
Shared Health $5 98%
Superior Health Plan $5 - $36 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%
Community Health Choice $7 137%
Superior $7 - $8 137%
Verda Health Plan $7 137%
Healthcare Highways $15 293%
Evry Health $77 - $165 1504%
Coventry National First Health $151 - $322 2949%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals