CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $59
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 14.94x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Atlanticare Regional Medical Center - City Campus is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 14.94x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$59

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%)
Insurance Median: $59 (1494%)
Ins. Median: $59 (1494% 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 1494% of the Medicare baseline (a markup of 1394%). 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.

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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 $1 - $67 25%
Americhoice $1 25%
Amerigroup $1 25%
UnitedHealthcare $1 - $58 25%
Wellcare $1 25%
Ambetter / Centene $2 51%
Devoted Health Plan $4 - $40 101%
Oxford $4 - $61 101%
Global Exchange Managed Care $6 152%
Health Partners Plan $8 - $20 203%
Horizon $11 - $57 278%
Self Pay $12 304%
Magnacare $32 - $73 810%
Cigna $34 - $41 861%
Evernorth $40 1013%
Qualcare Commercial $40 1013%
Great West Life $41 1038%
Amerihealth $52 - $68 1316%
Active Care Plus $53 1342%
First Mco $53 1342%
Mutual Of Omaha $53 1342%
Qualcare Wc $53 1342%
Consumer Health Network (Chn) $57 - $73 1443%
Donio Trucking $57 1443%
Devon/ Ullicare $61 1544%
Coventry Health Care $65 1646%
Private Healthcare System (Phcs) $65 1646%
Blue Cross Blue Shield $67 1696%
Health Payors Org $69 1747%
Health South $69 1747%
Metrahealth Of Nj $69 1747%
Prime Health Services $69 1747%
Three Rivers Provider Network (Trpn) $69 1747%
Active Care Nj Pip $73 1848%
Beech Street $73 1848%
Choice Care $73 1848%
Department Of Corrections $73 1848%
Galaxy Health Network $73 1848%
Health Network Inc $73 1848%
Intergroup Preferred Program $73 1848%
Mcs Commercial $73 1848%
Metracomp $73 1848%
Multiplan $73 1848%
Provider Select, Inc $73 1848%
Atlantis Health Plan $75 1899%
Master Care Inc $75 1899%
Advance Healthcare System $77 1949%
Community Care Network $77 1949%
Health Network America $77 1949%
Mcsi/Mrsi No Fault $77 1949%
Mcsi/Mrsi Worker'S Comp $77 1949%
National Health Plan $77 1949%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals