CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Texas Health Center for Diagnostics & Surgery Plan

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $93
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 23.54x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Texas Health Center for Diagnostics & Surgery Plan is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 23.54x the Medicare baseline. Located in 6020 W Parker Road, Plano, TX.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $107 (2709%)
Insurance Median: $93 (2354%)
Cash: $107 (2709% of Medicare)
Ins. Median: $93 (2354% 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 2354% of the Medicare baseline (a markup of 2254%). 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.

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%
Blue Cross Blue Shield $3 - $23 76%
Parkland $3 76%
Superior Wellcare $3 - $4 76%
UnitedHealthcare $3 - $4 76%
American Health $4 101%
Healthspring $4 101%
Humana $4 101%
Molina $4 101%
Fort Worth Firefighters $8 - $136 203%
Aetna $13 - $156 329%
Cigna $16 - $209 405%
City Of Fort Worth $63 - $104 1595%
Quick Trip $81 - $140 2051%
Phcs $93 - $165 2354%
Healthsmart $101 - $186 2557%
Multiplan $117 - $193 2962%
Galaxy $118 - $195 2987%
Usa $118 - $195 2987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6020 W Parker Road, Plano, TX 75093
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals