CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Womans Hospital of Texas,The

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $617
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Womans Hospital of Texas,The is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $617. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$617

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: $617 (12051%)
Insurance Median: $6 (117%)
Cash: $617 (12051% 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 - $161 78%
Texas Health Network $4 78%
United $4 - $278 78%
Aetna $5 - $27 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $216 98%
Cigna $5 - $27 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%
Shared Health $5 98%
Superior Health Plan $5 - $37 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%
Evry Health $168 3281%
Imagine Health $216 4219%
Kelsey Care (Boon-Chapman) $216 4219%
Healthsmart Preferred Care $265 - $524 5176%
Averde Health $278 5430%
Fidelis Securecare Of Tx $278 5430%
Coventry National First Health $329 6426%
Physicians Cooperative Of Texas $339 6621%
Rockport Workers Comp $339 6621%
Independent Medical System $370 7227%
National Healthcare Solutions $370 7227%
Southwest Medical $370 7227%
Coastal Comp $401 7832%
Affiliated Ppo $463 9043%
Fiesta Mart, Inc $463 9043%
Multiplan $463 - $524 9043%
Physicians, Inc $524 10234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals