CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Adventist Health White Memorial Montebello

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Adventist Health White Memorial Montebello is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$4

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: $4 (101%)
Insurance Median: $5 (127%)
Cash: $4 (101% 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
Aetna $4 - $77 101%
Alignment Health Plan-All Plans $4 101%
Altamed Mcare-All Other Plans $4 101%
Blue Shield Mcare Adv $4 101%
Brand New Day Mcare-All Other Plans $4 101%
Brandman Health Plan-All Plans $4 101%
Caremore-All Plans $4 101%
Clever Care Hp-All Plans $4 101%
Easy Choice Mcare Adv-All Plans $4 101%
Healthnet Med Adv $4 101%
Kaiser Mcare Adv $4 101%
Oscar-All Plans $4 101%
Scan Health-All Plans $4 101%
Altamed Mcal $5 127%
Bc Mcal $5 127%
Blue Shield Promise Mcal $5 127%
Brand New Day Mcal $5 127%
Healthnet Mcal $5 127%
Kaiser Mcal $5 127%
La Care Mcal $5 127%
Medi-Cal $5 127%
Molina Mcal - All Plans $5 127%
Blue Shield Epn Ifp $6 152%
Cigna $7 177%
Healthnet Salud $17 - $63 430%
Healthcare Partners-All Plans $29 - $103 734%
Blue Cross Blue Shield $39 - $140 987%
Blue Shield Epn Core $271 6861%
Blue Shield Comm - All Other Plans $281 7114%
Healthnet Comm-All Other Plans $515 13038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals