CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: AHMC Seton Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at AHMC Seton Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$126

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: $126 (3190%)
Insurance Median: $5 (127%)
Cash: $126 (3190% 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
Medi-Cal $3 76%
Veterans Administration (Va) $3 76%
Aetna $4 - $12 101%
Apcmg $4 - $6 101%
Asian American Medical Group $4 - $5 101%
Blue Cross Blue Shield $4 - $119 101%
Blue Shield Of California $4 - $50 101%
Brand New Day $4 - $5 101%
Brown And Toland Medical Group $4 - $5 101%
Canopy Health $4 - $7 101%
Care Advantage $4 101%
Central Health Plan $4 101%
Chinese Community Health Plan $4 - $78 101%
Cmac $4 101%
Covid-19 Uninsured Program $4 101%
Easy Choice Hospital Services $4 101%
For Your Benefit $4 101%
Healthnet Seniority $4 101%
Hill Physicians Medical Group Inc $4 - $5 101%
Humana $4 101%
Imperial Health Plan $4 101%
Jade Health Care Mg $4 - $78 101%
Kaiser $4 - $129 101%
Medicare (plans) $4 101%
North East Medical Services $4 101%
Pacificare $4 101%
San Francisco Health Plan $4 101%
San Mateo County/San Mateo County General Hospital $4 101%
UnitedHealthcare $4 - $8 101%
Ahmc Health $5 127%
Athens Administrators $5 127%
Corvel Healthcare $5 127%
Health Plan Of San Mateo Healthworx $5 127%
Knox-Keene Act $5 127%
Multiplan/Bce Emergis $5 - $118 127%
Tricare $5 127%
Work Comp Other $5 127%
Health Plan Of San Mateo $6 152%
Cigna $20 506%
Self Pay $24 - $53 608%
Interplan Corporation $94 2380%
Healthcare Foundation Of San Mateo $110 - $118 2785%
Private Healthcare Sytems Inc $118 2987%
The First Health Network $118 2987%
Health Net $120 3038%
Beech Street Corporation $126 3190%
Choicecare Network $133 3367%
Multiplan $133 3367%
Mills Peninsula Health Services $141 3570%
Indemnity $157 3975%
Workers Compensation Federal $157 3975%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals