CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: NYU Langone Hospitals

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $13
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at NYU Langone Hospitals is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.29x the Medicare baseline. Located in 550 First Avenue, New York, NY.
Cash / Self-Pay
$9

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: $9 (228%)
Insurance Median: $13 (329%)
Cash: $9 (228% 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
Centerlight $4 101%
Fidelis $4 - $160 101%
Ghi $4 - $46 101%
Healthfirst $4 - $160 101%
Healthplus $4 - $160 101%
Hip $4 - $86 101%
Medicare (plans) $4 101%
Oxford $4 101%
UnitedHealthcare $4 - $160 101%
Wellcare $4 101%
Hamaspik $6 152%
Metroplus $6 - $160 152%
Cigna $9 228%
Aetna $10 - $72 253%
Blue Cross Blue Shield $10 - $13 253%
1199 $13 329%
Magnacare $18 - $40 456%
Medicaid / KanCare $27 - $71 684%
Multiplan $28 - $56 709%
Somos $29 - $96 734%
Amida $76 - $78 1924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 First Avenue, New York, NY 10016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals