CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: San Gabriel Valley Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at San Gabriel Valley Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$80

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
$3.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.95 (100%)
Cash / Self-Pay: $80 (2025%)
Insurance Median: $5 (127%)
Cash: $80 (2025% of Medicare)
Ins. Median: $5 (127% 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
Ahmc Medi-Cal Reciprocity $3 76%
Allied Physicians $3 - $6 76%
Altamed Health Network $3 - $4 76%
Beverly Hospital $3 - $4 76%
Blue Cross Blue Shield $3 - $19 76%
Brand New Day $3 - $93 76%
Emanate Health $3 - $5 76%
Healthnet Medi-Cal Non-Contract $3 76%
Healthy Way La $3 76%
Non Contracting Medi Cal $3 76%
Veterans Administration $3 76%
Aetna $4 - $7 101%
Aids Healthcare Foundation $4 - $106 101%
Alignment Health Plan $4 101%
Apa/Aco Inc $4 101%
Avanti $4 - $5 101%
Blue Shield Of California $4 - $55 101%
Care 1St Health Plan $4 - $172 101%
Central Health Plan $4 - $159 101%
Cv-19 Hrsa Uninsured Testing And Tx $4 101%
Health Net $4 - $154 101%
Health Net Inc $4 - $9 101%
Hollywood Presbyterian Adv Med Mcal $4 101%
Hollywood Presbyterian Medpoint Mcal $4 101%
Humana $4 101%
Inter Valley Health Plan $4 101%
La Care Health Plan $4 101%
Medicaid / KanCare $4 101%
Medicare (plans) $4 101%
Molina Healthcare Of California $4 - $103 101%
Pacific Alliance Medical Center $4 101%
Pacificare Of California $4 - $87 101%
Physicians Healthways $4 101%
Providence Health Network $4 101%
Self-Pay $4 101%
St Vincent Medical Center/Psych $4 101%
Tricare $4 101%
Wellcare $4 101%
Ahmc Health Self-Insurance Epo $5 127%
Athens Administrators $5 127%
Beech Street $5 - $212 127%
Chinatown Service Center Pace $5 127%
Cigna $5 127%
Knox-Keene Act $5 127%
Other Non Contracting Workers Comp $5 127%
UnitedHealthcare $8 - $16 203%
Private Pay $12 304%
Ahmc Reciprocity $80 2025%
Alignment Healthplan $93 2354%
Clever Care $93 2354%
Pacific Independent Physician Associates $106 2684%
Facey Medical $132 3342%
Community Care Network $172 4354%
Choicecare Network $186 4709%
Private Healthcare Systems (Phcs) $186 4709%
Affiliated Health Fund $199 5038%
Multiplan $238 6025%
Ppo Next $238 6025%
Managed Health Network $265 6709%
Medi-Cal Sub Acute $265 6709%
One Legacy $265 6709%
Other Non Contracted Commercial $265 6709%
Us Behavioral Health Plan $265 6709%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals