CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: El Paso Children's Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at El Paso Children's Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 4845 Alameda Avenue, El Paso, TX.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $5 (98%)
Insurance Median: $9 (176%)
Cash: $5 (98% of Medicare)
Ins. Median: $9 (176% 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 Tx $5 98%
El Paso First Health Plan $5 98%
Health Net Fed Svcs $5 98%
Point Comfort Underwriters $5 98%
Superior $5 98%
Uh Military Va $5 98%
Blue Cross Blue Shield $6 - $18 117%
El Paso Health Plans $6 117%
Molina Tx $6 117%
Western Sky $13 254%
Molina Nm $16 313%
Aetna $17 - $19 332%
UnitedHealthcare $17 332%
Cigna $19 371%
Coventry Health Care $19 371%
Fortified Provider Network $19 371%
Multiplan $19 371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4845 Alameda Avenue, El Paso, TX 79905
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens