CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Medical City Green Oaks Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $10
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Medical City Green Oaks Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.95x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.
Cash / Self-Pay
$144

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $144 (2813%)
Insurance Median: $10 (195%)
Cash: $144 (2813% of Medicare)
Ins. Median: $10 (195% 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
American Health Plan Of Texas, Inc. $5 98%
Care N Care $5 98%
Devoted Health $5 98%
Humana $5 - $94 98%
Integranet $5 98%
Mutual Of Omaha $5 98%
Procare Advantge $5 98%
Provider Partners Health Plan $5 98%
Texas Independent Health Plan $5 98%
Triwest Veterans $5 98%
Wellcare $5 98%
Cenpatico $6 117%
Imperial Insurance Company $6 117%
Molina $6 117%
Triwest Health Alliance $6 117%
Verda Health Plan $7 137%
Superior $9 - $11 176%
Superior Health Plan $10 195%
Molina Healthcare $13 254%
Healthcare Highways $35 - $49 684%
Evry Health $37 723%
City Of Mckinney $65 1270%
Pc Texas Partners $79 1543%
Physicians Coop Of Tx $79 1543%
Averde Health, Inc $84 1641%
Aetna $86 - $101 1680%
Magellan Bh $86 1680%
Value Options Behavioral Health $86 1680%
Usa Managed Care $94 1836%
Coastal Comp Health Networks $101 1973%
Cigna $115 2246%
Compsych Corporation $115 2246%
Galaxy Health Network $122 2383%
Three Rivers Provider Network $130 2539%
Independent Medical Systems $144 2813%
National Healthcare Solutions $144 2813%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7808 Clodus Fields Drive, Dallas, TX 75251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Psychiatric