CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $4
- Cash Discount Price: $227
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at AHMC Anaheim Regional Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$227
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%)
Cash / Self-Pay: $227 (5747%)
Insurance Median: $4 (101%)
Cash: $227 (5747% of Medicare)
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 |
|---|---|---|
| Affiliated Doctors Of Orange County | $3 | 76% |
| Ahmc Reciprocity Agreement | $3 - $68 | 76% |
| Allied Physicians | $3 - $6 | 76% |
| Altamed Health Network | $3 - $4 | 76% |
| Applecare Medical Group | $3 | 76% |
| Beverly Hospital | $3 - $4 | 76% |
| Brand New Day | $3 - $5 | 76% |
| Health Net | $3 | 76% |
| Healthcare Partners | $3 - $4 | 76% |
| Healthy Way La | $3 | 76% |
| Heritage Provider Network | $3 - $5 | 76% |
| Kaiser Foundation Hospitals | $3 - $4 | 76% |
| Medical Safety Net Program | $3 | 76% |
| Non Contracted Medi-Cal | $3 | 76% |
| Talbert Medical Group | $3 - $4 | 76% |
| Veterans Administration | $3 | 76% |
| Aetna | $4 - $22 | 101% |
| Aids Health Foundation | $4 | 101% |
| Align Senior Care | $4 | 101% |
| Alignment Health Plan | $4 | 101% |
| Alta Los Angeles Hospital | $4 | 101% |
| Angels Baseball Workers Comp | $4 | 101% |
| Apa Aco Inc | $4 | 101% |
| Avanti | $4 - $5 | 101% |
| Blue Cross Blue Shield | $4 - $15 | 101% |
| Caloptima | $4 - $5 | 101% |
| Central Health Of California | $4 | 101% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $4 | 101% |
| Davita Heatlhcare Partners Plan Inc | $4 - $123 | 101% |
| Emanate Health | $4 - $5 | 101% |
| Health Net Inc | $4 - $174 | 101% |
| Healthnet | $4 | 101% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $4 | 101% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $4 | 101% |
| Hollywood Presbyterian Medpoint Mcal | $4 | 101% |
| Humana | $4 | 101% |
| Innovative Integrated Health (Iih)/Orange County Pace | $4 | 101% |
| Interplan | $4 - $159 | 101% |
| Medi-Cal | $4 | 101% |
| Medicare (plans) | $4 - $114 | 101% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $4 | 101% |
| Monarch Health Plan | $4 - $154 | 101% |
| Nchp | $4 | 101% |
| Pacificare | $4 | 101% |
| Private Pay Flat Rate | $4 | 101% |
| Prospect Health Plan | $4 - $5 | 101% |
| Prospect Medical Group | $4 | 101% |
| Scan Health Plan | $4 | 101% |
| Self-Pay | $4 | 101% |
| Seoul Medical Group | $4 | 101% |
| Tricare | $4 | 101% |
| Wellcare | $4 | 101% |
| Ahmc Health Self-Insurance Epo | $5 | 127% |
| Athens Administrators | $5 | 127% |
| Capp Care | $5 - $170 | 127% |
| Cigna | $5 | 127% |
| Corvel | $5 - $170 | 127% |
| First Health | $5 - $193 | 127% |
| Knox-Keene Act | $5 | 127% |
| Marriot Intl | $5 | 127% |
| Non Contracted Workers Comp | $5 | 127% |
| Orange County Preferred Provider Organization | $5 - $170 | 127% |
| UnitedHealthcare | $8 - $16 | 203% |
| Monarch Healthcare Medical Group | $10 | 253% |
| Blue Shield Of California | $47 - $53 | 1190% |
| Msi/Medical Services For Indigents | $52 | 1316% |
| Netcare Life And Health Insurance | $57 | 1443% |
| Advance Clinical Research Institute | $68 | 1722% |
| Memorial Healthcare Ipa | $68 | 1722% |
| Medical Acquisition Company | $91 | 2304% |
| Healthcare Partners Commercial | $123 | 3114% |
| Huntington Memorial Hospital | $123 | 3114% |
| Genesis Healthcare Ipa Ancillary | $136 | 3443% |
| Affiliated Health Fund | $159 | 4025% |
| Allnet Preferred Provider | $159 | 4025% |
| Care First | $159 | 4025% |
| Private Healthcare Systems | $159 | 4025% |
| Choicecare | $170 | 4304% |
| Multiplan Inc | $170 | 4304% |
| National Provider Network | $182 | 4608% |
| Three Rivers Providers Network | $182 | 4608% |
| Health Payors Organization | $204 | 5165% |
| Non Contracted Commercial | $227 | 5747% |