CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: PAM Health Rehabilitation Hospital of El Paso

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $69
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 13.48x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at PAM Health Rehabilitation Hospital of El Paso is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 13.48x the Medicare baseline. Located in 1600 E Cliff Dr, El Paso, TX.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $92 (1797%)
Insurance Median: $69 (1348%)
Cash: $92 (1797% of Medicare)
Ins. Median: $69 (1348% 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 1348% of the Medicare baseline (a markup of 1248%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Americas Choice $64 1250%
Quik Trip $69 1348%
Usa Managed Care Organization $69 1348%
Velocity $69 1348%
Prime Health Services $78 1523%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 E Cliff Dr, El Paso, TX 79902
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL