CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $71
  • Cash Discount Price: $123
  • vs. Medicare Baseline: 17.97x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at University Medical Center of Princeton at Plainsboro is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 17.97x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$123

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $123 (3114%)
Insurance Median: $71 (1797%)
Cash: $123 (3114% of Medicare)
Ins. Median: $71 (1797% 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 1797% of the Medicare baseline (a markup of 1697%). 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
Aetna $3 - $102 76%
Amerihealth $3 76%
Charity Care $3 76%
Medicaid / KanCare $3 - $123 76%
Wellcare $3 76%
Blue Cross Blue Shield $4 - $93 101%
Cigna $4 - $123 101%
Clover Health Plan $4 101%
Humana $4 101%
Medicare (plans) $4 101%
UnitedHealthcare $4 - $29 101%
Va Medical Center $4 101%
Horizon Nj Health $5 127%
Tricare $5 127%
Us Family Health Plan $5 127%
Elap $6 - $7 152%
Centivo $7 177%
Claim Watcher $7 177%
Preferred Health Care Eliance $32 810%
Horizon Behavioral Health $46 1165%
Beacon Health Options $62 1570%
Magnacare $74 - $86 1873%
Princeton Theological Seminary $80 2025%
Coventry $86 2177%
Health Net $86 2177%
Beech Street $98 - $105 2481%
Intergrated Health Plan $98 2481%
Intergroup $98 2481%
Penn Global Medicine Embassy Only $98 2481%
Allied Trades $105 2658%
Consumer Health Network $105 2658%
Devon Health Services $105 2658%
First Managed Care Option $105 2658%
Ie Shaffer $105 2658%
Private Healthcare Systems $105 2658%
Qualcare $105 2658%
Total Care Network $105 2658%
Tri-State $105 2658%
Commercial Other $123 3114%
Compsych $123 3114%
Concern Plus $123 3114%
International Pfs $123 3114%
Life St. Francis $123 3114%
Magellan $123 3114%
Managed Health Network $123 3114%
Nj Carpenters $123 3114%
Penn Behavioral Health Corporate Services $123 3114%
Personnel Health Program $123 3114%
United Behavioral Health $123 3114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals