CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Medical City Plano

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $621
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Medical City Plano is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $621. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$621

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: $621 (15722%)
Insurance Median: $6 (152%)
Cash: $621 (15722% 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
Amerigroup $3 - $4 76%
Cigna $3 - $87 76%
United $3 - $108 76%
Aetna $4 - $376 101%
American Health Plan Of Texas, Inc. $4 101%
Blue Cross Blue Shield $4 - $276 101%
Care N Care $4 101%
Devoted Health $4 101%
Humana $4 - $44 101%
Imperial Insurance Company $4 101%
Integranet $4 101%
Molina $4 101%
Mutual Of Omaha $4 101%
Parkland Community Health Plan $4 101%
Procare Advantge $4 101%
Provider Partners Health Plan $4 101%
Superior Health Plan $4 - $43 101%
Texas Independent Health Plan $4 101%
Triwest Health Alliance $4 101%
Triwest Veterans $4 101%
Wellcare $4 101%
Wellmed $4 101%
Universal Healthcare Group $5 127%
Verda Health Plan $5 127%
Bravo Health $6 152%
Superior $7 - $9 177%
Corvel Corporation $8 203%
Usa Managed Care $8 - $497 203%
Molina Healthcare $10 253%
Oscar $10 253%
Healthcare Highways $152 - $210 3848%
Evry Health $160 4051%
Lifecare Hospitals $186 4709%
Prominence Health Plan $248 6278%
City Of Mckinney $279 7063%
Fidelis Securecare $279 7063%
National Choicecare $310 7848%
Pc Texas Partners $342 8658%
Physicians Coop Of Tx $342 8658%
Rockport Health Group $342 8658%
Averde Health, Inc $360 9114%
Texas Healthcare Foundation Wc $404 10228%
Coastal Comp Health Networks $435 11013%
Mega Life $435 11013%
Multiplan Phcs $435 11013%
Healthsmart Preferred Care $466 11797%
Lewisville Isd/Dls Consulting $466 11797%
Usc Health Services $497 12582%
Galaxy Health Network $528 13367%
Independent Medical Systems $621 15722%
National Healthcare Solutions $621 15722%
Unicare $621 15722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals