CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Cook Childrens Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82565
Insurance Median: $52
Cash Discount Price: $117
vs. Medicare Baseline: 10.16x Medicare

The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Cook Childrens Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 10.16x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $117 (2285%)

Insurance Median: $52 (1016%)

Cash: $117 (2285% of Medicare)

Ins. Median: $52 (1016% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1016% of the Medicare baseline (a markup of 916%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Plan W. Uhrip	$4 - $61	78%
Aetna	$5 - $132	98%
Beacon	$5 - $38	98%
El Paso Health First	$5 - $70	98%
Health Plan W/O Uhrip	$5 - $38	98%
Tx Children Health	$5 - $70	98%
Wellpoint	$5	98%
Blue Cross Blue Shield	$6 - $140	117%
Firstcare	$6 - $128	117%
Molina	$6 - $59	117%
Rightcare	$6 - $53	117%
Superior Health	$6	117%
United Community	$6	117%
UnitedHealthcare	$41 - $136	801%
S&W Health	$59 - $134	1152%
Cigna	$60 - $136	1172%
Healthscope	$60 - $136	1172%
Imagine Health	$60 - $136	1172%
Humana	$61 - $141	1191%
Multiplan	$61 - $139	1191%
First Health	$62 - $141	1211%
Galaxy Health	$63 - $144	1230%
Usamco	$65 - $147	1270%
Healthsmart	$140	2734%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $117.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82565.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cook Childrens Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82565.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.