CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Harlingen Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Harlingen Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 5501 South Expressway 77, Harlingen, TX.
Cash / Self-Pay
$3

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: $3 (76%)
Insurance Median: $5 (127%)
Cash: $3 (76% 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
Medicaid / KanCare $3 - $7 76%
Superior Health Plan $3 - $7 76%
Aetna $4 101%
Blue Cross Blue Shield $4 - $13 101%
Careworks Worker Compensation Fka Rockport Community Network $4 101%
Cigna $4 - $6 101%
Humana $4 101%
Imperial Insurance Company $4 101%
Medicare (plans) $4 101%
Molina $4 - $7 101%
Provider Partners Health Plan $4 101%
San Benito Medical Associates $4 101%
Texas Bluebonnett Health Plan $4 - $7 101%
Tricare $4 101%
UnitedHealthcare $4 - $5 101%
Veterans Evaluation Services $4 101%
Wellmed $4 101%
Workers Compensation $4 101%
Asserta Health $5 127%
Friday Health Plan $5 127%
Magic Valley Electric Cooperative $5 127%
Superior Health Commercial Exchange $5 127%
Corporate Remedies Worker Compensation $6 152%
Employer Direct Healthcare $6 152%
Naphcare $6 152%
Baker Benefits Administrators $8 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5501 South Expressway 77, Harlingen, TX 78550
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals