CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Adventist Health Reedley

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $7
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Adventist Health Reedley is $7. 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 1.77x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $7 (177%)
Cash: $20 (506% of Medicare)
Ins. Median: $7 (177% 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
Bc Mcal $1 25%
Blue Shield Epn - All Other Plans $1 - $62 25%
Healthnet- All Other Plans $1 - $61 25%
UnitedHealthcare $1 - $59 25%
Western Growers/Pinnacle- All Plans $1 - $65 25%
Blue Shield Non Epn $2 - $72 51%
Cigna $2 - $92 51%
Kaiser - All Other Plans $2 - $70 51%
Cal Viva Hlth Mcal - All Plans $3 - $5 76%
Community Care Ipa Mcal-All Plans $3 - $6 76%
Dignity Mcal Op/Profee Only-All Other Plans $3 - $5 76%
Healthnet Medi-Cal $3 - $21 76%
Kern Health Systems Mcal-All Plans $3 - $5 76%
Medi-Cal $3 - $5 76%
Physicians Med Group Op/Profee Only- All Plans $3 - $113 76%
Blue Shield Mcare $4 101%
Dignity Mcr Adv Op/Profee Only $4 101%
Fhcn Pace Mcr Adv-All Plans $4 101%
Healthnet- Mcr Adv $4 101%
Kaiser Mcr Adv $4 101%
Phs Prime Health Srvcs $4 101%
Tricare $4 101%
Bright Health Mcr Adv - All Plans $6 152%
Aetna $7 - $23 177%
Ah Employee Health Plan - All Plans $7 177%
Blue Cross Blue Shield $18 - $51 456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals