CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $31
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 7.85x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Hospital of Univ of Pennsylvania is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 7.85x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$170

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $170 (4304%)
Insurance Median: $31 (785%)
Cash: $170 (4304% of Medicare)
Ins. Median: $31 (785% 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 785% of the Medicare baseline (a markup of 685%). 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
Blue Cross Blue Shield $2 - $29 51%
Cigna $2 - $76 51%
Gspp And Wissahickon Hospice $2 51%
Ibc Commercial Hpn $2 51%
Keystone Hmo Proactive $2 51%
UnitedHealthcare $3 - $170 76%
Aetna $4 - $170 101%
Clover Health Plan $4 101%
Devoted Health $4 101%
Geisinger Health Plan $4 - $13 101%
Health Partners $4 - $170 101%
Humana $4 - $136 101%
Ibc $4 101%
Kaiser Permanente $4 - $170 101%
Keystone First $4 101%
Medicare (plans) $4 101%
Pa Health And Wellness $4 - $7 101%
Penn Life (Living Independently For Elders) $4 101%
Philadelphia Va Medical Center $4 101%
Tricare $4 101%
Upmc $4 - $170 101%
Us Family Health Plan $4 101%
Gateway Health Plan $5 127%
Medicaid / KanCare $5 - $170 127%
Pa Medical Assistance $5 - $170 127%
Claims Watcher $6 - $7 152%
Elap $6 152%
Centivo $7 177%
Elap Services $7 177%
Keystone Mercy Health Plan $7 - $170 177%
Oscar Health Plan $7 177%
Highmark $8 203%
Penn Global Medicine $10 253%
Paired Kidney Exchange $14 354%
Horizon Nj Health $29 - $30 734%
Preferred Health Care Eliance $37 937%
Pgm - Regie De L'Assurance Maladie Quebec $39 987%
Pgm - Kuwait Defense $60 - $76 1519%
Qualcare $65 1646%
Olympus $67 1696%
Coventry $68 - $87 1722%
Pgm - Chop $68 1722%
Wissahickon Hospice $68 1722%
Healthamerica/Coventry $76 - $83 1924%
First Health Global $85 2152%
Health Net $102 2582%
Pgm - Royal Embassy Of Saudi Arabia $102 2582%
Pgm - Embassy Of Qatar $110 2785%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $110 2785%
Interlink $114 2886%
Pgm - Embassy Of The United Emirates/Ipc $119 3013%
Health America/Ccn $136 3443%
Intergroup $136 3443%
Pgm - Kuwait Health Division $136 3443%
Pgm - Kuwait Oil $136 3443%
Preferred Care $136 3443%
Blue Quality Centers For Transplant (Bqct) $170 4304%
City Of Philadelphia Behavioral Health $170 4304%
Commercial Other $170 4304%
International Pfs $170 4304%
United Behavioral Health $170 4304%
Workers Compensation $170 4304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals