CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical City Lewisville

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $852
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical City Lewisville is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $852. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$852

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: $852 (16641%)
Insurance Median: $8 (156%)
Cash: $852 (16641% 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 - $170 78%
Aetna $5 - $620 98%
American Health Plan Of Texas, Inc. $5 98%
Blue Cross Blue Shield $5 - $378 98%
Care N Care $5 98%
Cigna $5 - $119 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 - $60 98%
Texas Independent Health Plan $5 98%
Triwest Health Alliance $5 98%
Wellcare $5 98%
Wellmed $5 98%
Imperial Insurance Company $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 - $682 195%
Molina Healthcare $13 254%
Oscar $13 254%
Unicare $205 - $852 4004%
Healthcare Highways $209 - $288 4082%
Evry Health $220 4297%
City Of Mckinney $383 7480%
Fidelis Securecare $383 7480%
National Choicecare $426 8320%
Pc Texas Partners $469 9160%
Physicians Coop Of Tx $469 9160%
Rockport Health Group $469 9160%
Averde Health, Inc $494 9648%
Usc Health Services $511 9980%
Coastal Comp Health Networks $596 11641%
Jostens $596 11641%
Mega Life $596 11641%
Multiplan Phcs $596 11641%
Healthsmart Preferred Care $639 12480%
Lewisville Isd/Dls Consulting $639 12480%
Galaxy Health Network $724 14141%
Independent Medical Systems $852 16641%
National Healthcare Solutions $852 16641%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals