CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: Garfield Medical Center
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $7
- Cash Discount Price: $365
- vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Garfield Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.77x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$365
Average discount available for prompt cash payment at this facility.
Insurance Median
$7
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: $365 (9241%)
Insurance Median: $7 (177%)
Cash: $365 (9241% of Medicare)
Ins. Median: $7 (177% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ahmc Healthcare Inc | $3 - $110 | 76% |
| Allied Physicians | $3 - $6 | 76% |
| Beverly Hospital | $3 - $4 | 76% |
| Blue Cross Blue Shield | $3 - $182 | 76% |
| Brand New Day | $3 - $5 | 76% |
| Care 1St Mcl/Gar Cap Reciprocity | $3 | 76% |
| Community Health Plan | $3 | 76% |
| Emanate Health | $3 - $5 | 76% |
| Health Net | $3 - $307 | 76% |
| Healthy Way La | $3 | 76% |
| La Care Health Plan | $3 - $201 | 76% |
| Other Non-Contracting Medi-Cal | $3 | 76% |
| Physicians Healthways Medi-Cal | $3 - $365 | 76% |
| Veterans Administration | $3 | 76% |
| Advantage Care Ipa | $4 - $365 | 101% |
| Aetna | $4 - $266 | 101% |
| Aids Health Foundation | $4 | 101% |
| Alignment Health Plan | $4 | 101% |
| Apa Aco Inc | $4 | 101% |
| Avanti | $4 - $5 | 101% |
| Blue Shield | $4 - $55 | 101% |
| Blue Shield Of California | $4 - $182 | 101% |
| Central Health Plan | $4 - $146 | 101% |
| Cigna | $4 | 101% |
| Cms | $4 | 101% |
| Cv-19 Hrsa Uninsured Testing And Tx | $4 | 101% |
| Easy Choice Health Plan | $4 | 101% |
| First Health Network | $4 - $256 | 101% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $4 | 101% |
| Hollywood Presbyterian Medpoint Mcal | $4 | 101% |
| Humana | $4 | 101% |
| Inter Valley Health Plan | $4 | 101% |
| La Care Covered Direct | $4 | 101% |
| Molina Healthcare | $4 | 101% |
| Molina Healthcare Of California | $4 - $5 | 101% |
| National Disaster Medical System | $4 | 101% |
| Non-Contract Medi-Care | $4 | 101% |
| Pacific Alliance Medical Center Comm/Sr | $4 | 101% |
| Physicians Healthways Medical Corporation | $4 - $365 | 101% |
| Preferred Health Network | $4 | 101% |
| San Miguel Health Plan | $4 | 101% |
| Scan Health Plan Sr Hmo | $4 | 101% |
| Self-Pay | $4 | 101% |
| State Of California Medi-Cal | $4 | 101% |
| Ucla Impact Dept Of Uncology | $4 | 101% |
| UnitedHealthcare | $4 - $219 | 101% |
| Ahmc Health Epo | $5 | 127% |
| Athens Administrators | $5 | 127% |
| Chinatown Service Center Pace | $5 | 127% |
| Interplan | $5 - $274 | 127% |
| Knox-Keene Act | $5 | 127% |
| Multiplan | $5 - $310 | 127% |
| Other Non-Contracted Workers Compensation | $5 | 127% |
| Physician Healthways Medical Corporation | $5 | 127% |
| Caloptima Direct | $6 | 152% |
| Health Net Comm/Hmo | $6 - $201 | 152% |
| Health Net Inc | $6 | 152% |
| Pacificare Of California Inc | $8 | 203% |
| Pacificare Ppo | $8 | 203% |
| Pacific Independent Physician Association | $29 - $58 | 734% |
| Access Ipa Ancillary | $36 - $110 | 911% |
| Associated Hispanic Phys Of So Cal | $36 - $73 | 911% |
| Care First Health Plan | $36 | 911% |
| Employee Health Systems Mg | $73 | 1848% |
| Family Health Alliance | $110 | 2785% |
| Allied Physicians Risk Pool | $128 | 3241% |
| Allied Physicians Risk Pool Agreement | $128 | 3241% |
| Healthnet Medi Cal Cap | $128 | 3241% |
| Pipa Risk Pool Agreement | $128 | 3241% |
| Molina Medical Group | $142 | 3595% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $146 | 3696% |
| Health Net Foundation M Cal (Family Health Alliance) | $146 | 3696% |
| Phys Assoc Of San Gab Valley | $146 | 3696% |
| Allied Physicians Med Grp | $182 | 4608% |
| Alhambra Hospital | $219 | 5544% |
| Care 1St Health Plan | $219 | 5544% |
| One Health Plan | $256 | 6481% |
| Fmc Los Angeles Co Epo | $274 | 6937% |
| Corvel Corporation | $292 | 7392% |
| Americas Health Plan | $310 | 7848% |
| Health Payors Organization | $328 | 8304% |
| East La Reg Ctr | $365 | 9241% |
| Non Contract Commercial | $365 | 9241% |
| One Legacy | $365 | 9241% |
| Private Pay | $365 | 9241% |