CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Adventist Health Vallejo

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $4
Cash Discount Price: $20
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Adventist Health Vallejo is $4. 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 1.01x the Medicare baseline. Located in 525 Oregon St, Vallejo, 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: $4 (101%)

Cash: $20 (506% 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.

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 Shield Behav Hlth	$1 - $61	25%
Blue Shield Epn	$1 - $64	25%
Blue Shield Non-Epn-All Other Plans	$1 - $63	25%
UnitedHealthcare	$1 - $87	25%
Beech Street-All Plans	$2 - $102	51%
Choicecare-All Plans	$2 - $95	51%
Interplan-All Plans	$2 - $88	51%
Phcs-All Plans	$2 - $75	51%
Western Growers-All Plans	$2 - $72	51%
Cigna	$3 - $109	76%
Galaxy Network-All Plans	$3 - $122	76%
Health Management Network-All Plans	$3 - $116	76%
Kaiser-All Plans	$3 - $114	76%
Medi-Cal	$3 - $5	76%
Three Rivers-All Plans	$3 - $122	76%
Va Medi-Cal	$3 - $5	76%
Blue Shield Mcr Adv	$4	101%
Medicare (plans)	$4	101%
Napa County Mcal Child	$4	101%
Tricare	$4	101%
Va Mcr-All Other Plans	$4	101%
Healthnet-All Plans	$5	127%
Ah Employee Health Plan-All Plans	$7	177%
Aetna	$23	582%
Blue Cross Blue Shield	$38 - $46	962%

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 Vallejo 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.