CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $48
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.15x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at University of Texas M. D. Anderson Cancer Center is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 12.15x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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%)
Insurance Median: $48 (1215%)
Ins. Median: $48 (1215% 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 1215% of the Medicare baseline (a markup of 1115%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texaschildrens $3 - $48 76%
Medicare (plans) $17 - $48 430%
Vacare $17 - $48 430%
Memorialhermannhealth $25 - $82 633%
Aetna $27 - $82 684%
Blue Cross Blue Shield $27 - $79 684%
Cigna $27 - $82 684%
UnitedHealthcare $27 - $82 684%
Beijingst.Lucia $28 - $82 709%
Embassyofqatar $28 - $82 709%
Emergingtherapysolutions $28 - $88 709%
Humana $28 - $85 709%
Interlink $28 - $94 709%
Ontarioministriesofhealth $28 - $81 709%
Tricare $28 - $82 709%
Emergingtherapysolutions_Cancercare $30 - $88 759%
Interlink_Cancercare $30 - $88 759%
Saudiarmedforces $30 - $88 759%
Uae_Medical $30 - $88 759%
Uaepoliceattache $30 - $88 759%
Healthsmart $32 - $94 810%
Multiplan $32 - $95 810%
Phcs $32 - $95 810%
Vantage $32 - $94 810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL