CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Los Robles Hospital & Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $54
Cash Discount Price: $954
vs. Medicare Baseline: 13.67x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Los Robles Hospital & Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $954. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 13.67x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$954

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $954 (24152%)

Insurance Median: $54 (1367%)

Cash: $954 (24152% of Medicare)

Ins. Median: $54 (1367% 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 1367% of the Medicare baseline (a markup of 1267%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $1,001	101%
Alignment Health Plan	$4	101%
Blue Cross Blue Shield	$4 - $21	101%
Blue Shield	$4 - $83	101%
Brand New Day	$4	101%
Care1St Health Plan	$4	101%
Central Health Plan	$4	101%
Clever Care Of Golden State	$4	101%
Easy Choice Health Plan	$4	101%
Facey Medical Group	$4 - $5	101%
Gold Coast Health Plan	$4	101%
Health Net	$4 - $407	101%
Humana	$4	101%
La Care	$4	101%
Scan Health Plan	$4	101%
Triwest Healthcare Alliance	$4	101%
United	$4 - $281	101%
Corvel Corporation	$5	127%
Ventura County Foundation	$5 - $901	127%
Bright Health	$10	253%
Medcare Partners	$10 - $150	253%
Cigna	$14	354%
First Health	$46 - $801	1165%
Choicecare Network	$48 - $701	1215%
Multiplan	$54 - $951	1367%
Ppo Next	$54 - $801	1367%
Interplan Corporation	$61 - $901	1544%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $954.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84520.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Los Robles Hospital & Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84520.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.