CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical City Fort Worth

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $8
  • Cash Discount Price: $496
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical City Fort Worth is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $496. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.56x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$496

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: $496 (9688%)
Insurance Median: $8 (156%)
Cash: $496 (9688% 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%
United $4 - $93 78%
Aetna $5 - $292 98%
American Health Plan Of Texas, Inc. $5 98%
Blue Cross Blue Shield $5 - $220 98%
Care N Care $5 98%
Cigna $5 - $263 98%
Devoted Health $5 98%
Healthspring Life $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 - $35 98%
Texas Independent Health Plan $5 98%
Triwest $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 - $396 195%
Molina Healthcare $13 254%
Oscar $13 254%
Unicare $109 - $496 2129%
Healthcare Highways $121 - $168 2363%
Evry Health $128 2500%
City Of Mckinney $223 4355%
Fidelis Securecare $223 4355%
Emerging Therapy Solutions $248 - $357 4844%
National Choicecare $248 4844%
Pc Texas Partners $273 5332%
Physicians Coop Of Tx $273 5332%
Rockport Health Group $273 5332%
Averde Health, Inc $287 5605%
Coastal Comp Health Networks $347 6777%
Mega Life $347 6777%
Multiplan Phcs $347 6777%
Healthsmart Preferred Care $352 6875%
Lewisville Isd/Dls Consulting $372 7266%
Usc Health Services $396 7734%
Galaxy Health Network $421 8223%
UnitedHealthcare $426 8320%
Independent Medical Systems $496 9688%
National Healthcare Solutions $496 9688%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals