CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Banner Payson Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $18
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 4.56x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Banner Payson Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 4.56x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $20 (506%)
Insurance Median: $18 (456%)
Cash: $20 (506% of Medicare)
Ins. Median: $18 (456% 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 456% of the Medicare baseline (a markup of 356%). 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
Arizona Physicians Ipa $4 - $17 101%
Banner University Health Plan $4 - $17 101%
Health Choice Arizona, Inc. $4 - $25 101%
Health Net $4 - $25 101%
Mercy Care $4 - $17 101%
Blue Cross Blue Shield $14 - $19 354%
Aetna $17 - $28 430%
Banner Health $17 430%
Care 1St $17 430%
Cigna $17 - $33 430%
Gila River Health Care Corporation $17 430%
Kaiser Foundation Health Plan $17 430%
Triwest Healthcare Alliance Corp - Va Ccn $17 430%
UnitedHealthcare $17 - $28 430%
Upmc Health Plan $17 430%
Wellpoint $17 430%
Carelon $18 456%
Humana $18 456%
Arizona Priority Care $19 481%
Devoted Health Services $19 481%
Gold Kidney Health Plan $19 481%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $19 481%
Plotkin Health $19 481%
Oscar Health Plan $28 709%
Quiktrip Corporation $29 734%
Arizona Medical Network $38 962%
Provider Network Of America $38 962%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 807 South Ponderosa Drive, Payson, AZ 85541
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals