CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Bellevue Hospital Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $13
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Bellevue Hospital Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.29x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $4 (101%)
Insurance Median: $13 (329%)
Cash: $4 (101% of Medicare)
Ins. Median: $13 (329% 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 329% of the Medicare baseline (a markup of 229%). 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 - $12 76%
Blue Cross Blue Shield $3 - $97 76%
Healthfirst $3 - $97 76%
Centerlight $4 - $5 101%
Centers Plan For Healthy Living $4 101%
Elderplan $4 101%
Fidelis $4 - $97 101%
Hamaspik $4 - $5 101%
Metroplus $4 - $97 101%
Oxford $4 - $6 101%
Wellcare $4 - $6 101%
Magnacare $5 127%
Villagecare Max $5 - $14 127%
Oscar $6 152%
United $6 - $54 152%
Affinity $7 - $97 177%
Cigna $10 253%
Carelon $11 - $43 278%
Emblem $12 - $58 304%
Local 1199 $13 - $14 329%
Multiplan $13 329%
Vnsny $14 - $44 354%
Amidacare $43 1089%
Senior Whole Health $43 1089%
United Behavioral Health $43 - $48 1089%
Carelon (Amida Care) $44 1114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals