CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Adventist Health Lodi Memorial

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Adventist Health Lodi Memorial is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$6

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: $6 (152%)
Insurance Median: $5 (127%)
Cash: $6 (152% 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
Bc Mcal $1 25%
Blue Shield Epn - All Other Plans $1 - $227 25%
Blue Shield Non-Epn $1 - $236 25%
Kaiser Commercial - All Other Plans $1 - $287 25%
Medcore(Omni Ipa) Op Only- All Plans $1 - $182 25%
UnitedHealthcare $1 - $291 25%
Healthnet- All Other Plans $2 - $344 51%
Networks By Design- All Plans $2 - $350 51%
Beech Street- All Plans $3 - $631 76%
Celtic Ins Company - All Plans $3 - $5 76%
Cigna $3 - $631 76%
First Health- All Plans $3 - $575 76%
Healthnet Mcal $3 - $6 76%
Hp Of San Joaquin Mcal $3 - $6 76%
Hp Of San Joaquin Ppo - All Other Plans $3 - $666 76%
Kaiser Mcal $3 - $5 76%
Medi-Cal $3 - $5 76%
Multiplan- All Plans $3 - $561 76%
Three Rivers Provider Network- All Plans $3 - $631 76%
Western Growers- All Plans $3 - $631 76%
Alignment Health Plan (Ahp)-All Plans $4 101%
Blue Shield Mcare Adv $4 101%
Cca Health Plan Mcr Adv- All Plans $4 101%
Healthnet Mcare $4 101%
Hp Of San Joaquin Mcr Adv $4 101%
Humana $4 101%
Kaiser Mcr Adv $4 101%
Tricare $4 101%
Knnex Health - All Plans $5 127%
Ah Employee Health Plan - All Plans $7 177%
Bright Health - All Plans $8 203%
Aetna $13 329%
Blue Cross Blue Shield $39 - $43 987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals