CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: El Centro Regional Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $25
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 6.33x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at El Centro Regional Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 6.33x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $46 (1165%)
Insurance Median: $25 (633%)
Cash: $46 (1165% of Medicare)
Ins. Median: $25 (633% 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 633% of the Medicare baseline (a markup of 533%). 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
Blue Cross Blue Shield $4 - $106 101%
Brand New Day Comm - All Other Plans $4 101%
Brand New Day Mcr $4 101%
Easy Choice Mcr Adv-All Plans $4 101%
Healthnet Mcr Adv $4 101%
Molina Mcr Adv $4 101%
Scp Managed Care - All Plans $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $53 101%
Cdcr Correctional-All Plans $5 127%
Healthnet Hmo $5 127%
Aetna $11 - $47 278%
Pacificare-All Plans $16 - $66 405%
Mulitplan Primary - All Other Plans $17 - $72 430%
Cigna $19 - $80 481%
Multiplan Comp $20 - $85 506%
Trident - All Plans $21 - $90 532%
Healthnet Comm-All Other Plans $23 - $95 582%
Humana $23 - $99 582%
Ahccs/Medi-Cal Misc - All Plans $25 - $106 633%
Blue Shield-All Plans $25 633%
Brand New Day Mcal $25 - $106 633%
Medi-Cal $25 - $106 633%
Molina Exchange - All Other Plans $25 - $106 633%
Ambetter / Centene $26 - $109 658%
Molina Mcal $28 - $117 709%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals