CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: John Muir Medical Center - Concord Campus

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $86
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 21.77x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at John Muir Medical Center - Concord Campus is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 21.77x the Medicare baseline. Located in 2540 East St, Concord, CA.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $62 (1570%)
Insurance Median: $86 (2177%)
Cash: $62 (1570% of Medicare)
Ins. Median: $86 (2177% 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 2177% of the Medicare baseline (a markup of 2077%). 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
Contra Costa County Jail [1012104] $3 76%
Aetna $4 - $439 101%
Alignment Health [1177113] $4 101%
Blue Cross Blue Shield $4 - $395 101%
Blue Shield-Network Mcare [1006127] $4 101%
Care 1St Health Plan [1094113] $4 101%
Caremore [1171113] $4 101%
Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] $4 101%
Easy Choice Health Plan [1083113] $4 101%
Essence Healthcare [1049028] $4 101%
Essence Healthcare [1049128] $4 101%
Golden State-Network Mcare [1023127] $4 101%
Health Net-Network Mcare [1028127] $4 101%
Hospice Of East Bay [1085104] $4 101%
Humana $4 - $504 101%
Medicare (plans) $4 - $486 101%
Scan-Network Mcare [1043127] $4 101%
UnitedHealthcare $4 - $355 101%
Veterans Administration [1051113] $4 101%
Generic Commercial/Indemnity [1017001] $5 - $243 127%
Generic Hmo [1018103] $5 127%
Generic Ppo [1021104] $5 127%
Jmpn Canopy Hn [1640000011] $5 127%
Workers' Comp [1024005] $5 127%
Canopy Hn Hmo [1166103] $7 177%
Brms [1091104] $53 1342%
Carecentrix [1011001] $53 - $243 1342%
Delta Health Systems [1032104] $53 1342%
Empire Plan [1092104] $53 1342%
Healthcomp [1089104] $53 - $516 1342%
Aps Healthcare [1003103] $60 - $273 1519%
United Behavioral Health [1048103] $67 - $305 1696%
Cigna $68 - $435 1722%
Carelon Behavioral Health [1050104] $73 - $334 1848%
Fortified Provider Network [1063104] $73 - $334 1848%
Medigap [1036001] $73 - $334 1848%
Three Rivers Provider Network [1073104] $73 - $334 1848%
Health Net Hmo [1028103] $76 - $346 1924%
Health Net-Network [1028026] $76 - $346 1924%
Contra Costa Health Plan Hmo [1013103] $80 - $364 2025%
Blue Shield Hmo [1006103] $83 - $386 2101%
Blue Shield-Network [1006026] $85 - $386 2152%
Blue Shield Ppo [1006104] $89 - $447 2253%
Western Health Advantage Hmo [1053103] $93 - $486 2354%
Health Net Ppo [1028104] $97 - $441 2456%
Kaiser Hmo [1033103] $99 - $449 2506%
Federal Correction Institute [1062104] $107 - $486 2709%
First Health [1016104] $107 - $516 2709%
Healthsmart - Pka Interplan [1031104] $107 - $486 2709%
Networks By Design [1084104] $107 - $486 2709%
Pponext [1072104] $107 - $486 2709%
Sutter Preferred Health Plan [1044104] $107 - $486 2709%
Health Management Network [1066104] $113 - $516 2861%
Galaxy Health Network [1064104] $120 - $546 3038%
Integrated Health Plan [1075104] $120 - $546 3038%
Donor Network West [1008103] $4,000 101266%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2540 East St, Concord, CA 94520
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals