CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Adventist Health Tulare

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $7
Cash Discount Price: $20
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Adventist Health Tulare is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.77x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $20 (506%)

Insurance Median: $7 (177%)

Cash: $20 (506% 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

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
Blue Cross Blue Shield	$1 - $40	25%
Blue Shield Epn	$1 - $60	25%
Blue Shield-All Other Plans	$1 - $83	25%
Cigna	$1 - $88	25%
Western Growers - All Plans	$1 - $87	25%
Hs Interplan-All Plans	$2 - $127	51%
Network By Design-All Plans	$2 - $124	51%
UnitedHealthcare	$2 - $138	51%
Ccipa Medi-Cal - All Plans	$3 - $6	76%
Dignity Mcal Op Only	$3 - $5	76%
Healthnet Medi-Cal	$3 - $6	76%
Independence Op Only - All Plans	$3 - $5	76%
Medi-Cal	$3 - $5	76%
Multiplan - All Plans	$3 - $162	76%
Blue Shield Mcare	$4	101%
Dignity Mcr Op Only - All Other Plans	$4	101%
Fhcn Pace Mcr Adv - All Plans	$4	101%
Medicare (plans)	$4	101%
Prime Health - All Plans	$4	101%
Tricare	$4	101%
Cal Forensic Med Grp - All Plans	$5	127%
Prison Hlthcre - All Plans	$5	127%
Bright Health - All Plans	$6	152%
Ah Employee Health Plan - All Plans	$7	177%
Incentive Hlth - All Plans	$7	177%
Healthnet Hmo/Ppo - All Other Plans	$11	278%
Aetna	$34	861%

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 $20.
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 Adventist Health Tulare 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.