CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Alhambra Hospital Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Alhambra Hospital Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$221

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: $221 (5595%)
Insurance Median: $5 (127%)
Cash: $221 (5595% 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-Reciprocity-Medi-Cal/Healthy Families $3 76%
Citrus Valley Health Partners $3 76%
Kaiser Medi-Cal $3 76%
La Care Pasc Seiu Misc $3 76%
Miscellaneous Medi-Cal Hmo $3 76%
Stewart Mg Senior Hmo $3 76%
Aetna $4 - $7 101%
Alignment Senior Hmo $4 101%
Allied Physicians Of Ca Medi-Cal $4 101%
Altamed Senior Services $4 101%
Apa Aco $4 101%
Blue Cross Blue Shield $4 - $7 101%
Blue Shield 65 Plus $4 101%
Brand New Day Sr $4 101%
Central Health Plan Of Ca Senior Hmo $4 101%
Health Net Medi-Cal $4 101%
Health Net Senior Hmo $4 101%
Humana $4 101%
La Care Exchange $4 101%
La Care Medi-Cal Hmo $4 101%
Medi-Cal $4 101%
Medicare (plans) $4 - $133 101%
Miscellaneous Senior Hmo $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $8 101%
Wellcare Senior Hmo $4 101%
Cigna $5 - $100 127%
Health Net Exchange $5 127%
Health Net Salud Con Hmo $5 127%
Miscellaneous Work Comp Hmo $5 127%
Molina Exchange $5 127%
Ahmc Health $6 152%
Allied Physicians Of Ca Commercial $6 152%
Health Net Ppo/Epo/Pos $8 203%
Blue Shield Value Network Exchange $49 1241%
Blue Shield Hmo/Ppo $55 1392%
Ahmc-Reciprocity-Comm/Senior $66 1671%
Allied Physicians Comm/Sr $78 1975%
Allied Physicians Medi-Cal $78 1975%
Wellcare Allied Senior Hmo $78 1975%
Molina Health Plan $86 2177%
Self Pay $89 2253%
Health Net Exchange Enhanced Ppo $94 2380%
Kaiser Commercial $137 3468%
Scan Senior Plan $144 3646%
Multiplan $177 4481%
Miscellaneous Commercial Ppo/Hmo $221 5595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals