CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Banner Boswell Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $14
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 3.54x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Banner Boswell Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.54x the Medicare baseline. Located in 13632 N 99Th Ave, Sun City, AZ.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.95 (100%)
Cash / Self-Pay: $17 (430%)
Insurance Median: $14 (354%)
Cash: $17 (430% of Medicare)
Ins. Median: $14 (354% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.95 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 354% of the Medicare baseline (a markup of 254%). 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
Aetna $4 - $71 101%
Arizona Physicians Ipa $4 101%
Arizona Priority Care $4 101%
Banner Health $4 101%
Banner University Health Plan $4 101%
Blue Cross Blue Shield $4 - $14 101%
Care 1St $4 101%
Carelon $4 101%
Cigna $4 - $8 101%
Devoted Health Services $4 101%
Gila River Health Care Corporation $4 101%
Gold Kidney Health Plan $4 101%
Health Choice Arizona, Inc. $4 - $6 101%
Health Net $4 - $6 101%
Humana $4 101%
Kaiser Foundation Health Plan $4 101%
Mercy Care $4 101%
Triwest Healthcare Alliance Corp - Va Ccn $4 101%
UnitedHealthcare $4 - $9 101%
Upmc Health Plan $4 101%
Wellpoint $4 101%
Oscar Health Plan $7 177%
Hospice Of The Valley $23 - $47 582%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $30 - $61 759%
Plotkin Health $30 - $61 759%
Quiktrip Corporation $36 - $73 911%
Provider Network Of America $50 - $101 1266%
Arizona Medical Network $54 - $108 1367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13632 N 99Th Ave, Sun City, AZ 85351
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals