CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Loma Linda University Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $21
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 5.32x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Loma Linda University Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 5.32x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $18 (456%)
Insurance Median: $21 (532%)
Cash: $18 (456% of Medicare)
Ins. Median: $21 (532% 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 532% of the Medicare baseline (a markup of 432%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $3 - $4 76%
Adventist Health $4 - $20 101%
Alpha Care Medical Group $4 - $6 101%
Dignity Health $4 - $6 101%
Epic Health Plan $4 - $39 101%
Inland Empire Health Plan (Iehp) $4 - $5 101%
Kaiser Foundation Hospitals $4 - $65 101%
Prime Health Services $4 - $83 101%
Riverside University Health System $4 101%
Upland Medical Group $4 101%
Vantage Medical Group $4 - $6 101%
Molina Healthcare Of Ca $5 127%
Blue Cross Blue Shield $6 - $29 152%
Heritage Provider Network $6 152%
Lluh Dept Of Risk Management $7 - $20 177%
Blue Shield Of California $14 - $23 354%
Global Benefits Group $20 - $59 506%
Temecula Valley Physicians Medical Group $20 - $23 506%
Trivalley Medical Group $20 - $23 506%
Aetna $21 - $23 532%
Cigna $22 - $28 557%
Networks By Design $22 - $64 557%
Multiplan $26 - $74 658%
Central Health Plan $27 - $78 684%
Galaxy Health $29 - $83 734%
Health Management Network $31 - $88 785%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11234 Anderson St, Loma Linda, CA 92354
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals