CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Santa Monica - UCLA Med Ctr & Orthopaedic Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 1250 16Th Street, Santa Monica, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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%)
Insurance Median: $4 (101%)
Ins. Median: $4 (101% 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.

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
La Care Medi-Cal Hmo $3 76%
Aetna $4 101%
Blue Shield $4 101%
La Care Dsnp $4 101%
Medicare (plans) $4 101%
Monarch $4 101%
Providence Healthcare $4 101%
St. Jude $4 101%
Triwest Healthcare Alliance $4 101%
UnitedHealthcare $4 - $11 101%
Central Health Plan $5 127%
Healthsmart $5 127%
Scan $5 127%
Blue Cross Blue Shield $6 - $7 152%
La Care Covered Ca $6 152%
Centivo $9 228%
Health Plan Of Nevada Commercial $11 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 16Th Street, Santa Monica, CA 90404
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals