CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Jacobi Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $50
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.66x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Jacobi Medical Center is $50. 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 12.66x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $50 (1266%)
Ins. Median: $50 (1266% 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 1266% of the Medicare baseline (a markup of 1166%). 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 $3 - $12 76%
Healthfirst $3 - $112 76%
Elderplan $4 101%
Fidelis $4 - $112 101%
Magnacare $5 127%
Villagecare Max $5 - $14 127%
Oscar $6 152%
Oxford $6 152%
United $6 - $62 152%
Centerlight $8 203%
Cigna $10 253%
Wellcare $10 253%
Carelon $11 - $50 278%
Emblem $12 - $67 304%
Blue Cross Blue Shield $13 - $112 329%
Multiplan $13 329%
Local 1199 $14 354%
Vnsny $14 - $51 354%
Metroplus $49 - $112 1241%
Amidacare $50 1266%
Senior Whole Health $50 1266%
United Behavioral Health $50 - $55 1266%
Affinity $51 - $112 1291%
Carelon (Amida Care) $51 1291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals