CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Hospital Pavia Arecibo

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Hospital Pavia Arecibo is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $48 (1215%)
Insurance Median: $5 (127%)
Cash: $48 (1215% of Medicare)
Ins. Median: $5 (127% 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.

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
First Medical $4 - $5 101%
Mso $4 - $5 101%
Plan Auxilio Mutuo $4 101%
Plan De Salud Menonita $4 - $8 101%
Triple S $4 - $7 101%
Ch $5 127%
Comerciales $5 127%
Humana $5 - $6 127%
Mcs $5 - $7 127%
Medicare (plans) $5 127%
Tricare $5 127%
Va $5 127%
Aarp $6 152%
Acaa $6 152%
Auxilio Platino $6 152%
Cigna $6 152%
Fondo Del Seguro Estado $6 152%
Hospicio $6 152%
Mc $6 152%
Prossam $6 152%
Bl $7 177%
Mapfre $7 177%
Privado $8 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals