CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Banner Lassen Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $41
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 10.38x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Banner Lassen Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 10.38x the Medicare baseline. Located in 1800 Spring Ridge Drive, Susanville, CA.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $27 (684%)
Insurance Median: $41 (1038%)
Cash: $27 (684% of Medicare)
Ins. Median: $41 (1038% 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 1038% of the Medicare baseline (a markup of 938%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Partnership Healthplan Of Ca $5 127%
Banner Health $18 456%
UnitedHealthcare $18 - $40 456%
Network Providers, Llc $23 582%
Imperial Health Plan Of California, Inc $24 608%
Blue Shield Of California $37 937%
Multiplan $39 987%
Cigna $41 1038%
Coventry $41 1038%
First Health $41 1038%
Health Net $42 1063%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Spring Ridge Drive, Susanville, CA 96130
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals