CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: St Joseph's University Medical Center Inc

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $8
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at St Joseph's University Medical Center Inc is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.03x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $72 (1823%)
Insurance Median: $8 (203%)
Cash: $72 (1823% of Medicare)
Ins. Median: $8 (203% 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 203% of the Medicare baseline (a markup of 103%). 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 $3 - $8 76%
Wellpoint $3 - $4 76%
Aetna $4 - $15 101%
Amerihealth $4 - $46 101%
Blue Cross Blue Shield $4 - $63 101%
Clover Health $4 101%
Fidelis Care of New Jersey $4 - $14 101%
Horizon New Jersey Total Care $4 101%
Horizon New Jersey Health $5 127%
Longevity Health Plan $5 127%
Ambetter / Centene $6 152%
Consumer Health Network $6 - $65 152%
Oxford $8 203%
Private Healthcare Systems $47 1190%
Magnacare $50 1266%
Multiplan $54 1367%
Oscar $68 1722%
Cigna $72 1823%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals