CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: Watsonville Community Hospital
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $27
- Cash Discount Price: $253
- vs. Medicare Baseline: 6.84x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Watsonville Community Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 6.84x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$253
Average discount available for prompt cash payment at this facility.
Insurance Median
$27
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: $253 (6405%)
Insurance Median: $27 (684%)
Cash: $253 (6405% of Medicare)
Ins. Median: $27 (684% 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 684% of the Medicare baseline (a markup of 584%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Blue Shield PPO | $4 - $13 | 101% |
| Crawford & Co | $4 | 101% |
| Republic Idemnity W/Comp | $4 | 101% |
| Veterans Administration | $4 | 101% |
| Nx Health Network | $4 | 101% |
| Fleming & Associates | $4 | 101% |
| U.S. Dept. of Labor | $4 | 101% |
| Medicare (plans) | $4 | 101% |
| Secure Horizons Dign HMO | $4 - $163 | 101% |
| Miscellaneous Work Comp | $4 | 101% |
| Travelers Insurance | $4 - $813 | 101% |
| Ace-Usa | $4 | 101% |
| Liberty Mutual Work Comp | $4 | 101% |
| Gallagher Bassett Svcs | $4 | 101% |
| Health Net of California | $4 - $510 | 101% |
| Western Growers Work Comp | $4 | 101% |
| Hartford Workers' Comp | $4 | 101% |
| Alignment Health Plan | $4 | 101% |
| Keenan & Assoc Work Comp | $4 | 101% |
| Pinnacle Healthcare Uc | $4 | 101% |
| Beta Healthcare Group | $4 | 101% |
| Fireman's Fund Work Comp | $4 | 101% |
| Workers Comp | $4 | 101% |
| Secure Horizons | $4 | 101% |
| UnitedHealthcare | $4 - $488 | 101% |
| Tricare | $4 | 101% |
| Kemper Group Workers Comp | $4 | 101% |
| Ccs/Monterey County | $5 | 127% |
| Well Path | $5 - $813 | 127% |
| California Childrens Srvs | $5 | 127% |
| Medicaid / KanCare | $5 | 127% |
| Alliance/Sccho | $5 | 127% |
| Healthy Families | $5 - $13 | 127% |
| Medi-Cal E.R. | $5 | 127% |
| Medi-Cal/Eds | $5 | 127% |
| Great-West/Phcs | $6 - $569 | 152% |
| Aetna | $6 - $666 | 152% |
| Health Net Pmg HMO | $6 - $510 | 152% |
| Blue Cross Blue Shield | $6 - $724 | 152% |
| Pacificare HMO | $6 - $488 | 152% |
| Cigna | $6 - $569 | 152% |
| Victim Compensation Plan | $6 - $813 | 152% |
| Blue Shield HMO | $6 - $163 | 152% |
| Medicruz | $6 - $146 | 152% |
| Western Growers Trust/Bc | $12 - $724 | 304% |
| Pinnacle Claims Tpa/Bc | $12 - $724 | 304% |
| United Agriculture | $13 | 329% |
| Bs Employee | $13 | 329% |
| Ufcw/Valley Clerks | $13 | 329% |
| Western Health Advantage | $15 - $406 | 380% |
| Pacificare PPO | $18 - $488 | 456% |
| Self Pay | $18 - $488 | 456% |
| Health Net Smartcare Netw | $18 - $488 | 456% |
| Health Net Blue and Gold | $19 - $510 | 481% |
| Health Net Canopycare HMO | $19 - $510 | 481% |
| Geha (Ccn) | $21 - $650 | 532% |
| First Health | $21 - $650 | 532% |
| Transwestern | $21 - $650 | 532% |
| Adventist Risk Management | $21 - $650 | 532% |
| Private Healthcare System | $24 - $634 | 608% |
| Multiplan Inc PPO | $24 - $634 | 608% |
| Sheet Metal Workers | $26 - $724 | 658% |
| Delta Health Systems | $26 - $724 | 658% |
| Coastal Healthcare Admin | $26 - $731 | 658% |
| City of Wats/Pinnacle Clm | $26 - $724 | 658% |
| Monterey Bay Pub Emp Trst | $26 - $724 | 658% |
| Operating Engineers | $26 - $724 | 658% |
| Robert Kennedy/Ccn | $26 - $724 | 658% |
| State Compensation Fund | $26 - $724 | 658% |
| Claims Management Wc | $26 - $724 | 658% |
| Laborers Health & Welfare | $26 - $724 | 658% |
| Carpenters H&W Trust | $26 - $724 | 658% |
| Teamsters Benefit Trust | $26 - $724 | 658% |
| Calif Ironworkers Field | $26 - $724 | 658% |
| Salinas Valley Mem Hops | $26 - $691 | 658% |
| Miscellaneous Auto | $31 - $813 | 785% |
| State Farm Ins | $31 - $813 | 785% |
| North Calif Bakery Driver | $31 - $813 | 785% |
| United Administrative | $31 - $813 | 785% |
| Zenith National Ins | $31 - $813 | 785% |
| Wholesale Beer Distributo | $31 - $813 | 785% |
| Farmers Insurance | $31 - $813 | 785% |
| Prucare Pmg HMO | $31 - $813 | 785% |
| Miscellaneous Insurance | $31 - $813 | 785% |
| Aaa | $31 - $813 | 785% |
| Sutter Health Plus | $31 - $813 | 785% |
| Bankers Life & Casualty | $31 - $813 | 785% |
| Prucare Pmg POS | $31 - $813 | 785% |
| Physicians Mutual | $31 - $813 | 785% |
| Aarp | $31 - $813 | 785% |
| Allstate | $31 - $813 | 785% |
| Apwu Health Plan | $31 - $813 | 785% |
| Humana | $31 - $813 | 785% |