CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Adventist Health Ukiah Valley

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $15
Cash Discount Price: $22
vs. Medicare Baseline: 3.80x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Adventist Health Ukiah Valley is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.80x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $22 (557%)

Insurance Median: $15 (380%)

Cash: $22 (557% of Medicare)

Ins. Median: $15 (380% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 380% of the Medicare baseline (a markup of 280%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Shield Epn-All Other Plans	$1 - $42	25%
Blue Shield Non-Epn	$1 - $43	25%
Cigna	$2 - $87	51%
Foundation For Medical Care-All Plans	$2 - $83	51%
Healthnet-All Plans	$2 - $63	51%
Mendocino Lcc District-All Plans	$2 - $72	51%
UnitedHealthcare	$2 - $93	51%
Western Growers-All Plans	$2 - $58	51%
Beech Street-All Plans	$3 - $94	76%
Choice Care-All Plans	$3 - $94	76%
Health Mgmt Network-All Plans	$3 - $94	76%
Interplan-All Plans	$3 - $91	76%
Kaiser Medi-Cal	$3 - $5	76%
Kaiser-All Other Plans	$3 - $89	76%
Medi-Cal	$3 - $5	76%
Networks By Design-All Plans	$3 - $89	76%
Phcs Multiplan-All Plans	$3 - $89	76%
Three Rivers-All Plans	$3 - $100	76%
Blue Shield Mcr Adv	$4	101%
Kaiser Mcr Adv	$4	101%
Tricare	$4	101%
Ah Employee Health Plan - All Plans	$7	177%
Aetna	$35	886%
Blue Cross Blue Shield	$40 - $53	1013%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $22.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84520.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Ukiah Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84520.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.