CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Stonewall Memorial Hospital District
Billing Code: 82565 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$12
about 2.4× the $5 Medicare rate · typically $5–$38
modeled estimate · not a bill or quote
Medicare pays $5 Fair price $12 Cash price $41 Hospital's list price $54
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $34 - $40 | 664% |
| Blue Cross Blue Shieldmajor | $49 | 957% |
| Aetnamajor | $34 | 664% |
| Cignamajor | $43 | 840% |
| Humanamajor | $34 | 664% |
| + 1 smaller / regional plan | $46 |
Government programs also on file: Medicaid.
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Other Procedures at Stonewall Memorial Hospital District
Compare: Blood test, creatinine (kidney) at other TX hospitals
- Hunt Regional Medical Center · Greenville $3
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $3
- Ascension Providence · Waco $4
- University of Texas M. D. Anderson Cancer Center · Houston $4
- South Texas Health System · Edinburg $4
- Otto Kaiser Memorial Hospital · Kenedy $4
- PAM Specialty Hospital of Texarkana North · Texarkana $4
- PAM Rehabilitation Hospital of Beaumont · Beaumont $4
Insurance negotiated median for the same procedure, sorted lowest first.