CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Artesia General Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $44
Cash Discount Price: $65
vs. Medicare Baseline: 11.14x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Artesia General Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 11.14x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $65 (1646%)

Insurance Median: $44 (1114%)

Cash: $65 (1646% of Medicare)

Ins. Median: $44 (1114% 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 1114% of the Medicare baseline (a markup of 1014%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Zelis	$3 - $44	76%
Blue Cross Blue Shield	$4 - $65	101%
Geha	$4 - $87	101%
Humana	$4	101%
Molina Healthcare Of New Mexico	$4 - $7	101%
Presbyterian Health Plan	$4 - $7	101%
Triwest	$4	101%
UnitedHealthcare	$4 - $93	101%
Vistacare Hospice	$4	101%
New Mexico Health Connections	$7	177%
First Health	$8 - $98	203%
Providence Risk & Insurance Services	$8 - $104	203%
Omni Networks	$76	1924%
Three Rivers Provider Network	$82	2076%
Cigna	$93 - $98	2354%
Galaxy Health	$98	2481%
One Health Plan	$98	2481%
Multiplan	$99	2506%
United Payors & United Providers	$101	2557%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $65.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84520.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Artesia General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84520.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.