CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Clovis Community Medical Center
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $5
- Cash Discount Price: $70
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Clovis Community Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 0.98x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$70
Average discount available for prompt cash payment at this facility.
Insurance Median
$5
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: $70 (1367%)
Insurance Median: $5 (98%)
Cash: $70 (1367% of Medicare)
Ins. Median: $5 (98% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Santa Clara Family Health Plan - Valley Health | $4 | 78% |
| Medi-Cal La Care Health | $4 | 78% |
| Ccs Madera/Sacramento | $4 | 78% |
| Ccs Tulare | $4 | 78% |
| Ccs Merced | $4 | 78% |
| Blue Cross Blue Shield | $4 - $55 | 78% |
| Ccs Kings | $4 | 78% |
| Medi-Cal Contra Costa Health Plan | $4 | 78% |
| Medi-Cal Blue Shield Promise Health | $4 | 78% |
| Medi-Cal Alameda Alliance for Health | $4 | 78% |
| Santa Clara Family Health Plan - Premier Health | $4 | 78% |
| Generic Care Out of County | $4 | 78% |
| Generic Ccs Other Counties | $4 | 78% |
| Ccs Kern | $4 | 78% |
| Ccs Fresno | $4 | 78% |
| Ccs Stanislaus | $4 | 78% |
| Gold Coast Medi-Cal | $4 | 78% |
| Chdp | $4 | 78% |
| San Francisco Health Plan Medi-Cal | $4 | 78% |
| Medi-Cal Health Plan of San Mateo | $4 | 78% |
| Medi-Cal Community Health Group | $4 | 78% |
| Medi-Cal California Health & Wellness Plan | $4 | 78% |
| Cal Caloptima | $4 | 78% |
| Medi-Cal Inland Empire Health | $4 | 78% |
| Medi-Cal Partnership Health Plan of Ca | $4 | 78% |
| Fresno County Funded Specialty Care | $4 | 78% |
| Blue Shield | $4 - $50 | 78% |
| Genetically Handicapped Person | $4 | 78% |
| Medi-Cal Kern Family Health | $4 | 78% |
| Medi-Cal Molina | $4 | 78% |
| Ccs Mariposa | $4 | 78% |
| Medi-Cal Cencal Health | $4 | 78% |
| Aetna | $5 - $26 | 98% |
| Generic Victims of Crime | $5 | 98% |
| Generic Bscphp | $5 | 98% |
| Healthnet Sante - Sub Cap Dual Risk | $5 | 98% |
| Sante | $5 - $7 | 98% |
| Blue Shield Hmo-Cvmp/Medpro | $5 | 98% |
| Meritage Blue Shield 65 Plus | $5 | 98% |
| Cares Act Provider Relief Fund | $5 | 98% |
| Sante Sub Cap-Blue Shield/Sante | $5 | 98% |
| Railroad Part B | $5 | 98% |
| Healthnet HMO - Dhmso | $5 | 98% |
| Blue Shield Sante | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| Healthnet Sante Dual Risk | $5 | 98% |
| Meritage Healthnet HMO | $5 | 98% |
| Blue Shield Saint Agnes | $5 | 98% |
| Healthnet HMO - Sante | $5 | 98% |
| Humana | $5 - $74 | 98% |
| Todays Pyramid | $5 | 98% |
| Kaiser | $5 | 98% |
| Sante-Healthnet Seniority | $5 | 98% |
| Sequoia Pace - Peak Tpa | $5 | 98% |
| Railroad Part A & B | $5 | 98% |
| Medi-Cal Innovative Integrated Health | $5 | 98% |
| Cigna | $5 - $54 | 98% |
| Us Marshal | $5 | 98% |
| UnitedHealthcare | $5 - $46 | 98% |
| Bscphp - Dhmso | $5 | 98% |
| Blue Shield Promise - Imperial | $5 | 98% |
| Sante-Sub Cap Ma Brand New Day | $5 | 98% |
| Meritage Brand New Day | $5 | 98% |
| Gemcare HMO | $5 | 98% |
| Hartford Life Supplement | $5 | 98% |
| Blue Shield 65 Plus HMO First Choice | $5 | 98% |
| Sante Sub Cap Healthnet Seniority | $5 | 98% |
| Care1St HMO - Ehs | $5 | 98% |
| Brand New Day | $5 | 98% |
| Scan Health Plan | $5 | 98% |
| Victims of Crime | $5 | 98% |
| Healthnet Sante | $5 | 98% |
| Generic | $5 | 98% |
| Healthnet HMO - Cvmp/Medpro | $5 | 98% |
| Bscphp - First Choice | $5 | 98% |
| Blue Shield 65 Plus HMO Ehs | $5 | 98% |
| Healthnet HMO - La Salle | $5 | 98% |
| Sante-Blue Shield/Sante | $5 | 98% |
| Advantek Table Mountain Rancheria Tribal Member | $5 | 98% |
| Wellcare | $5 | 98% |
| Bscphp HMO - First Choice | $5 | 98% |
| Railroad Part A | $5 | 98% |
| Sequoia Pace | $6 | 117% |
| Innovative Integrated Health Community Plans HMO | $6 | 117% |
| Alignment Health Plan | $6 | 117% |
| Champion Health Plan of California Ma | $6 | 117% |
| Imperial Health Plan HMO | $6 | 117% |
| Health Plan of San Joaquin | $6 | 117% |
| Adventist -McL Calviva Sub Cap | $7 | 137% |
| Correctcare Integrated Health | $7 | 137% |
| Healthnet | $8 - $51 | 156% |
| Coalinga State Hospital | $10 | 195% |
| Naphcare Inc-Mendota | $11 | 215% |
| Community Care | $22 | 430% |
| Central Valley Medical Providers | $22 - $61 | 430% |
| Employer 90/40 | $35 | 684% |
| Nx Health Network PPO | $48 | 938% |
| Central Ca Indian Health | $48 | 938% |
| Healthsmart | $59 - $70 | 1152% |
| Network By Design | $65 | 1270% |
| Coventry Health Care (First Health Network) | $65 | 1270% |
| PHCS | $74 | 1445% |
| Generic Multiplan | $74 | 1445% |
| Well Path (Cfmg) | $96 | 1875% |