CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Rio Grande Regional Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $7
  • Cash Discount Price: $875
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Rio Grande Regional Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $875. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.37x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$875

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $875 (17090%)
Insurance Median: $7 (137%)
Cash: $875 (17090% of Medicare)
Ins. Median: $7 (137% 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
Driscoll Children'S Health Plan $4 78%
Texas Health Network $4 78%
United $4 - $394 78%
Aetna $5 98%
Allegian Health $5 - $350 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $394 98%
Cigna $5 - $19 98%
Humana $5 - $18 98%
Independent Medical System $5 98%
Molina Healthcare $5 - $12 98%
Physicians Health Choice $5 98%
Prominence Health $5 98%
Provider Partners Health Plan Of Texas $5 98%
Shared Health $5 98%
Superior Health Plan $5 - $61 98%
Triwest Healthcare Alliance $5 98%
Wellmed $5 98%
Molina $6 117%
Triwest Health Alliance $6 117%
Universal Health Care $6 117%
Superior $8 156%
Corvel Corporation $10 195%
Focus Healthcare $10 195%
Omni Healthcare $11 215%
Oscar $12 234%
Healthcare Highways $15 293%
Texas Workforce Commission $210 4102%
Averde Health $289 5645%
Healthsmart Preferred Care $376 - $744 7344%
First Health $503 9824%
National Healthcare Solutions $525 10254%
Southwest Medical $525 10254%
Coastal Comp $569 11113%
Usa Managed Care $569 - $700 11113%
Ppo Next/ Medical Control $656 12813%
Beech Street $700 13672%
Multiplan $700 13672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals