CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Mayaguez Medical Center Dr Ramon Emeterio Betances

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mayaguez Medical Center Dr Ramon Emeterio Betances is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in Carr 2 Bo Sabalos, Mayaguez, PR.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $16 (405%)
Insurance Median: $6 (152%)
Cash: $16 (405% of Medicare)
Ins. Median: $6 (152% 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
Medicare (plans) $4 101%
Plan Vital $4 - $5 101%
Acaa $5 127%
Fondo Seguro Estado $5 127%
Mmm $5 127%
Triple S $5 - $6 127%
Humana $6 152%
Privado $6 152%
Prossam $6 152%
International Medical Card $7 177%
McS Classicare $7 177%
Medical Card System $7 177%
Palic $7 177%
Mapfre $10 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 2 Bo Sabalos, Mayaguez, PR 00682
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals