CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $6
  • Cash Discount Price: $626
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at HCA Houston Healthcare Kingwood is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $626. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.17x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$626

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: $626 (12227%)
Insurance Median: $6 (117%)
Cash: $626 (12227% 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 - $104 78%
Texas Health Network $4 78%
United $4 - $282 78%
Aetna $5 - $34 98%
American Health Plan $5 98%
Blue Cross Blue Shield $5 - $219 98%
Chc Harris Health $5 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%
Renaissance Ipa Radiology $5 98%
Shared Health $5 98%
Superior Health Plan $5 - $38 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%
Usa Managed Care $10 - $532 195%
Omni Healthcare $11 215%
Healthcare Highways $15 293%
Evry Health $171 3340%
Imagine Health $219 4277%
Kelsey Care (Boon-Chapman) $219 4277%
Healthsmart Preferred Care $269 - $532 5254%
Averde Health $282 5508%
Fidelis Securecare Of Tx $282 5508%
Coventry National First Health $334 6523%
Physicians Cooperative Of Texas $344 6719%
Rockport Workers Comp $344 6719%
Independent Medical System $376 7344%
National Healthcare Solutions $376 7344%
Southwest Medical $376 7344%
Coastal Comp $407 7949%
Multiplan $470 - $532 9180%
Physicians, Inc $532 10391%
Affiliated Ppo $564 11016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals