CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Houston Healthcare West

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $487
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Houston Healthcare West is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $487. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$487

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: $487 (12329%)
Insurance Median: $5 (127%)
Cash: $487 (12329% 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
Amerigroup $3 - $4 76%
Community Health Choice Mcd $3 76%
Texas Childrens Health Plans $3 - $81 76%
Texas Health Network $3 76%
United $3 - $219 76%
Aetna $4 - $26 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 - $170 101%
Chc Harris Health $4 101%
Christus (Usfhp) $4 101%
Cigna $4 - $390 101%
Devoted Health $4 101%
Humana $4 - $53 101%
Integranet Amerigroup Ipa $4 101%
Kelsey Seybold $4 101%
Molina $4 101%
Molina Healthcare $4 - $8 101%
Oscar $4 - $11 101%
Procare Advantage $4 101%
Provider Partners Health Plan Of Texas $4 101%
Renaissance Ipa Radiology $4 101%
Shared Health $4 101%
Superior Health Plan $4 - $29 101%
Triwest Health Alliance $4 101%
Triwest Healthcare Alliance $4 101%
Van Lang Ipa $4 101%
Wellcare $4 101%
Wellmed $4 101%
Universal Healthcare Group $5 127%
Verda Health Plan $5 127%
Community Health Choice $6 152%
Superior $6 152%
Corvel Corporation $8 203%
Omni Healthcare $8 203%
Healthcare Highways $12 304%
Texas Workforce Commission $117 2962%
Evry Health $133 3367%
Imagine Health $170 4304%
Healthsmart Preferred Care $209 - $414 5291%
Averde Health $219 5544%
Fidelis Securecare Of Tx $219 5544%
Coventry National First Health $260 6582%
Physicians Cooperative Of Texas $268 6785%
Rockport Workers Comp $268 6785%
Independent Medical System $292 7392%
National Healthcare Solutions $292 7392%
Southwest Medical $292 7392%
Triumph $292 7392%
Coastal Comp $317 8025%
Multiplan $365 - $414 9241%
Physicians, Inc $414 10481%
Affiliated Ppo $438 11089%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals