CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: San Dimas Community Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at San Dimas Community Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 1350 W Covina Blvd, San Dimas, CA.
Cash / Self-Pay
$3

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: $3 (76%)
Insurance Median: $4 (101%)
Cash: $3 (76% 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
Aids Healthcare Foundation $4 101%
Blue Cross Blue Shield $4 - $25 101%
Blue Shield Of Ca $4 - $8 101%
Blue Shield Of Promise $4 101%
Brand New Day $4 - $6 101%
Central Health Plan $4 101%
Choice Physicians Network $4 101%
Citrus Valley Physicians Group $4 101%
Elite Health Plan $4 101%
Health Excel Inc $4 101%
Health Net Of Ca $4 - $6 101%
Heritage Provider Network Inc $4 - $5 101%
Imperial Health Plan Inc $4 101%
La Care Health Plan $4 101%
Medicare (plans) $4 101%
Molina Healthcare $4 101%
Patient Choice Health Plan $4 101%
Primecare Medical Network $4 - $5 101%
Renal Payer Solutions $4 101%
Rios $4 101%
Traditional Medi-Cal $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $7 101%
Aetna $5 127%
Ca Foundation For Medical Care $5 127%
Worker Comp $5 127%
Employer Direct Healthcare $6 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1350 W Covina Blvd, San Dimas, CA 91773
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals