CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Good Samaritan Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Good Samaritan Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 235 North Pearl Street, Brockton, MA.
Cash / Self-Pay
$7

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: $7 (177%)
Insurance Median: $4 (101%)
Cash: $7 (177% 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
Fallon Healthcre Aco [1121] $3 76%
Hlth New England Aco [1123] $3 76%
Mass General Brigham Health Plan Aco [1120] $3 76%
Mass General Brigham Health Plan Mcd Mnged [1107] $3 76%
Medicaid / KanCare $3 76%
Tufts Together Aco [1122] $3 76%
Tufts Together Mco [1125] $3 76%
Wellsense Alli Aco [1118] $3 76%
Wellsense Essential Mco [1101] $3 76%
Aetna $4 - $12 101%
Blue Cross Blue Shield $4 - $10 101%
Cca [1215] $4 101%
Eternalhealth [1227] $4 101%
Humana $4 101%
Medicare (plans) $4 101%
Neighborhood Pace [1206] $4 101%
Ubh Hphc [8016] $4 101%
United Community Plan [1202] $4 101%
UnitedHealthcare $4 101%
Veterans Admin [9003] $4 101%
Zzzcca Onecare [1216] $4 101%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $4 101%
Fallon [8008] $5 127%
Senior Whole Health [1210] $6 152%
Unicare [8004] $7 177%
Wellpoint [2034] $7 177%
Cigna $9 - $11 228%
Mass General Brigham Health Plan Commercial [8009] $9 228%
Mass General Brigham Health Plan Prime [7003] $9 228%
Tufts [8002] $10 - $11 253%
Meritain Health [1023] $12 304%
Harvard Pilgrim Health Care [8001] $15 380%
Hsn Bad Debt [4003] $395 10000%
Hsn Confidential [4007] $395 10000%
Hsn Dental [4006] $395 10000%
Hsn Partial [4002] $395 10000%
Hsn [4001] $395 10000%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 North Pearl Street, Brockton, MA 02301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals