Blood test, urea nitrogen (BUN, kidney)
Facility: Johnson Memorial Hospital
Billing Code: 84520 (CPT)
- CPT Billing Code: 84520
- Insurance Median: $8
- Cash Discount Price: $15
- vs. Medicare Baseline: 2.03x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 203% of the Medicare baseline (a markup of 103%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Geha | $4 | 101% |
| Medicare (plans) | $4 | 101% |
| Blue Cross Blue Shield | $4 - $8 | 101% |
| Cigna | $4 - $23 | 101% |
| Cca Senior Care Options | $4 | 101% |
| UnitedHealthcare | $4 - $27 | 101% |
| Aetna | $4 - $8 | 101% |
| Harvard Pilgrim Healthcare | $4 | 101% |
| Centivo | $5 | 127% |
| Fallon Health | $5 | 127% |
| Connecticare | $7 | 177% |
| Allied Benefit Systems | $8 | 203% |
| Gravie Admin Services | $8 | 203% |
| Luminare Health | $8 | 203% |
| Blue Benefit Administrators of Massachusetts | $8 | 203% |
| Blue Shield - Id (Regence) | $8 | 203% |
| Blue Shield - Ca | $8 | 203% |
| Blue Shield - Ny Highmark Northeastern | $8 | 203% |
| Wellpoint | $8 | 203% |
| Pre-Employment | $8 | 203% |
| Blue Shield - Ny Highmark Western | $8 | 203% |
| Health Choices | $8 | 203% |
| 1199 National Benefit Fund | $8 | 203% |
| Bcn Domestic | $8 | 203% |
| Unicare | $8 | 203% |
| Webtpa | $8 | 203% |
| Innovative Health Plan II | $8 | 203% |
| Nippon Life Ins | $8 | 203% |
| Claimdoc | $8 | 203% |
| Wc Domestic | $8 | 203% |
| Blue Shield - PA (Highmark) | $8 | 203% |
| Diversified Administrators | $8 | 203% |
| Blue Distinction Transplant | $8 | 203% |
| Blue Shield - Wa (Regence) | $8 | 203% |
| Kaiser Domestic | $8 | 203% |
| Blue Care Network | $8 | 203% |
| Meritain | $8 | 203% |
| Hap | $8 | 203% |
| Connecticut Dept of Correction | $9 | 228% |
| Health New England | $18 | 456% |
| International Benefit Administrators | $22 | 557% |
| Mvp | $22 | 557% |
| Manhattan Life | $22 | 557% |
| Multiplan | $22 | 557% |
| Paramount HMO | $22 | 557% |
| Ghc Scw | $22 | 557% |
| Allied National Global Care | $22 | 557% |
| Lifetime Benefit Solutions | $22 | 557% |
| Christian Care Ministry | $22 | 557% |
| Asrm - Reliance Standard Life Insurance | $22 | 557% |
| Prime Health Services | $22 | 557% |
| Pan-American Life | $22 | 557% |
| Medi Share | $22 | 557% |
| Pai | $22 | 557% |
| Dean Health | $22 | 557% |
| PHCS | $22 | 557% |
| Family Life Insurance Company | $22 | 557% |
| Trinity Health Share | $22 | 557% |
| Magnacare | $23 | 582% |
| Health Smart | $23 | 582% |
| Health Partners | $23 | 582% |
| Allegiance | $23 | 582% |
| United Behavioral Health Eap | $27 | 684% |