CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Casa Colina Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Casa Colina Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$5

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: $5 (127%)
Insurance Median: $4 (101%)
Cash: $5 (127% 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
Heritage Prvdr Ntwrk Mcal $3 76%
Aetna $4 - $9 101%
Blue Cross Blue Shield $4 - $14 101%
Blue Shield Mcr Adv $4 101%
Caremore Mcr Adv - All Plans $4 101%
Central Hlth Plan - All Plans $4 101%
Doctors Managed Op Only - All Plans $4 101%
Empire Healthcare Op Only - All Plans $4 101%
Epic Comm - All Other Plans $4 101%
Epic Mcr Adv $4 101%
Focus Healthcare Wc - All Plans $4 101%
Healthnet Mcr Adv $4 101%
Humana $4 - $12 101%
Iehp - All Other Plans $4 101%
Iehp Mcr Adv $4 101%
Kaiser Comm - All Other Plans $4 101%
Kaiser Mcr Adv $4 101%
Premiercare Op Only - All Plans $4 101%
Promed Hlth Ntwrk Op Only - All Plans $4 101%
Prospect Hp Comm - All Other Plans $4 101%
Prospect Hp Mcal $4 101%
Prospect Hp Mcr Adv $4 101%
Triwest - All Plans $4 101%
UnitedHealthcare $4 101%
Wellcare Mcr Adv - All Plans $4 101%
Affiliated Hlth Funds - All Plans $5 127%
Kaiser Mcal $5 127%
Medi-Cal $5 127%
Cigna $6 152%
Heritage Prvdr Ntwrk Comm - All Other Plans $9 228%
Heritage Prvdr Ntwrk Mcr $9 228%
Healthnet Comm - All Other Plans $10 253%
Iehp Mcal $11 278%
Corvel - All Plans $12 304%
Coventry - All Plans $12 304%
Multiplan - All Plans $12 304%
Three Rivers - All Plans $12 304%
Brand New Day Mcr Adv - All Plans $14 354%
Blue Shield Comm - All Other Plans $17 430%
Galaxy Provdr Ntwrk - All Plans $17 430%
Healthcare Partners - All Other Plans $19 481%
Healthcare Partners Mcr $19 481%
Primecare Comm - All Other Plans $19 481%
Primecare Mcr Adv $19 481%
Prospect Med Grp Alta - All Plans $20 506%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals