CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: Clovis Community Medical Center
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $4
- Cash Discount Price: $26
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Clovis Community Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$26
Average discount available for prompt cash payment at this facility.
Insurance Median
$4
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: $26 (658%)
Insurance Median: $4 (101%)
Cash: $26 (658% of Medicare)
Ins. Median: $4 (101% 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 |
|---|---|---|
| Blue Cross Blue Shield | $3 - $17 | 76% |
| Blue Shield | $3 - $15 | 76% |
| Cal Caloptima | $3 | 76% |
| Ccs Fresno | $3 | 76% |
| Ccs Kern | $3 | 76% |
| Ccs Kings | $3 | 76% |
| Ccs Madera/Sacramento | $3 | 76% |
| Ccs Mariposa | $3 | 76% |
| Ccs Merced | $3 | 76% |
| Ccs Stanislaus | $3 | 76% |
| Ccs Tulare | $3 | 76% |
| Chdp | $3 | 76% |
| Fresno County Funded Specialty Care | $3 | 76% |
| Generic Care Out Of County | $3 | 76% |
| Generic Ccs Other Counties | $3 | 76% |
| Genetically Handicapped Person | $3 | 76% |
| Gold Coast Medi-Cal | $3 | 76% |
| Medi-Cal Alameda Alliance For Health | $3 | 76% |
| Medi-Cal Blue Shield Promise Health | $3 | 76% |
| Medi-Cal California Health & Wellness Plan | $3 | 76% |
| Medi-Cal Cencal Health | $3 | 76% |
| Medi-Cal Community Health Group | $3 | 76% |
| Medi-Cal Contra Costa Health Plan | $3 | 76% |
| Medi-Cal Health Plan Of San Mateo | $3 | 76% |
| Medi-Cal Inland Empire Health | $3 | 76% |
| Medi-Cal Kern Family Health | $3 | 76% |
| Medi-Cal La Care Health | $3 | 76% |
| Medi-Cal Molina | $3 | 76% |
| Medi-Cal Partnership Health Plan Of Ca | $3 | 76% |
| San Francisco Health Plan Medi-Cal | $3 | 76% |
| Santa Clara Family Health Plan - Premier Health | $3 | 76% |
| Santa Clara Family Health Plan - Valley Health | $3 | 76% |
| Advantek Table Mountain Rancheria Tribal Member | $4 | 101% |
| Aetna | $4 - $14 | 101% |
| Alignment Health Plan | $4 | 101% |
| Blue Shield 65 Plus Hmo Ehs | $4 | 101% |
| Blue Shield 65 Plus Hmo First Choice | $4 | 101% |
| Blue Shield Hmo-Cvmp/Medpro | $4 | 101% |
| Blue Shield Promise - Imperial | $4 | 101% |
| Blue Shield Saint Agnes | $4 | 101% |
| Blue Shield Sante | $4 | 101% |
| Brand New Day | $4 | 101% |
| Bscphp - Dhmso | $4 | 101% |
| Bscphp - First Choice | $4 | 101% |
| Bscphp Hmo - First Choice | $4 | 101% |
| Care1St Hmo - Ehs | $4 | 101% |
| Cares Act Provider Relief Fund | $4 | 101% |
| Champion Health Plan Of California Ma | $4 | 101% |
| Cigna | $4 - $17 | 101% |
| Gemcare Hmo | $4 | 101% |
| Generic | $4 | 101% |
| Generic Bscphp | $4 | 101% |
| Generic Victims Of Crime | $4 | 101% |
| Hartford Life Supplement | $4 | 101% |
| Healthnet Hmo - Cvmp/Medpro | $4 | 101% |
| Healthnet Hmo - Dhmso | $4 | 101% |
| Healthnet Hmo - La Salle | $4 | 101% |
| Healthnet Hmo - Sante | $4 | 101% |
| Healthnet Sante | $4 | 101% |
| Healthnet Sante - Sub Cap Dual Risk | $4 | 101% |
| Healthnet Sante Dual Risk | $4 | 101% |
| Humana | $4 - $23 | 101% |
| Innovative Integrated Health Community Plans Hmo | $4 | 101% |
| Kaiser | $4 | 101% |
| Medi-Cal Innovative Integrated Health | $4 | 101% |
| Medicare (plans) | $4 | 101% |
| Meritage Blue Shield 65 Plus | $4 | 101% |
| Meritage Brand New Day | $4 | 101% |
| Meritage Healthnet Hmo | $4 | 101% |
| Railroad Part A | $4 | 101% |
| Railroad Part A & B | $4 | 101% |
| Railroad Part B | $4 | 101% |
| Sante | $4 - $5 | 101% |
| Sante Sub Cap Healthnet Seniority | $4 | 101% |
| Sante Sub Cap-Blue Shield/Sante | $4 | 101% |
| Sante-Blue Shield/Sante | $4 | 101% |
| Sante-Healthnet Seniority | $4 | 101% |
| Sante-Sub Cap Ma Brand New Day | $4 | 101% |
| Scan Health Plan | $4 | 101% |
| Sequoia Pace - Peak Tpa | $4 | 101% |
| Todays Pyramid | $4 | 101% |
| UnitedHealthcare | $4 - $14 | 101% |
| Us Marshal | $4 | 101% |
| Victims Of Crime | $4 | 101% |
| Wellcare | $4 | 101% |
| Adventist -Mcl Calviva Sub Cap | $5 | 127% |
| Correctcare Integrated Health | $5 | 127% |
| Health Plan Of San Joaquin | $5 | 127% |
| Imperial Health Plan Hmo | $5 | 127% |
| Sequoia Pace | $5 | 127% |
| Healthnet | $6 - $16 | 152% |
| Central Valley Medical Providers | $7 - $19 | 177% |
| Community Care | $7 - $10 | 177% |
| Coalinga State Hospital | $8 | 203% |
| Naphcare Inc-Mendota | $8 | 203% |
| Employer 90/40 | $11 | 278% |
| Central Ca Indian Health | $15 - $21 | 380% |
| Nx Health Network Ppo | $15 | 380% |
| Healthsmart | $18 - $22 | 456% |
| Coventry Health Care (First Health Network) | $20 | 506% |
| Network By Design | $20 | 506% |
| Generic Multiplan | $23 | 582% |
| Phcs | $23 | 582% |
| Well Path (Cfmg) | $30 - $42 | 759% |