CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Boulder Community Health

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $32
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 8.10x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Boulder Community Health is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 8.10x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $24 (608%)
Insurance Median: $32 (810%)
Cash: $24 (608% of Medicare)
Ins. Median: $32 (810% 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 810% of the Medicare baseline (a markup of 710%). 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
UnitedHealthcare $1 - $4 25%
Blue Cross Blue Shield $2 - $33 51%
Aetna $3 - $48 76%
Health Spring $3 76%
Humana $3 - $4 76%
Medicare (plans) $3 - $21 76%
Select Health Colorado Public Option $3 - $21 76%
Select Health Value Network $3 - $21 76%
Cigna $4 - $44 101%
Clear Spring $4 101%
Devoted Health $4 - $22 101%
Rocky Mountain Health Maintenance Organization $4 101%
Multiplan $6 - $38 152%
Phcs $6 - $38 152%
Kaiser Public Option $8 203%
Kaiser $9 228%
Kaiser Ppo $9 228%
Rocky Mountain Health Maintenance Organization Private Plan $28 - $38 709%
Integrated Health Plans Bch $30 - $41 759%
Casualty Management Network, Prime Health Services Behavioral Health $34 - $47 861%
Mines And Associates $34 - $47 861%
Three Rivers Provider Network $34 - $47 861%
Zelis (Profee) $34 - $47 861%
Casualty Management Network, Prime Health Services Community Medical Associates $36 - $50 911%
National Preferred Provider Network $36 - $50 911%
Rockport Healthcare Group Community Medical Associates $36 - $50 911%
Usa $36 - $50 911%
Rockport Healthcare Group Bch $37 - $51 937%
Health Management Network Bch Community Medical Associates $38 - $53 962%
Health Management Network Community Medical Associates $38 - $53 962%
Health Payors Organization $38 - $52 962%
National Provider Network $39 - $53 987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals