Blood test, urea nitrogen (BUN, kidney)
Facility: Nemours Children's Hospital, Delaware
Billing Code: 84520 (CPT)
- CPT Billing Code: 84520
- Insurance Median: $55
- Cash Discount Price: $98
- vs. Medicare Baseline: 13.92x 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 1392% of the Medicare baseline (a markup of 1292%). 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 |
|---|---|---|
| Keystone First Hlth Plan | $3 - $91 | 76% |
| Tricare | $4 | 101% |
| Carefirst Md Community Health Plan | $4 | 101% |
| Priority Partners John Hopkins | $4 - $101 | 101% |
| Amerihealth Caritas Delaware | $4 - $117 | 101% |
| Health Partners | $5 - $80 | 127% |
| Us Family Health Plan | $5 | 127% |
| Fidelis | $5 - $82 | 127% |
| Kidz Partners | $5 - $78 | 127% |
| UnitedHealthcare | $5 - $129 | 127% |
| UPMC | $5 - $82 | 127% |
| Blue Cross Blue Shield | $5 - $182 | 127% |
| Wellpoint Maryland | $5 - $76 | 127% |
| Celtic Transplant for De First Health | $5 - $72 | 127% |
| Aetna | $6 - $119 | 152% |
| Six Degrees Health Transplant | $6 - $103 | 152% |
| Cigna | $7 - $130 | 177% |
| Great West-One Health Plan | $7 - $130 | 177% |
| Ambetter / Centene | $7 - $117 | 177% |
| Celtic Transplant | $7 - $206 | 177% |
| Star Healthcare Network | $8 - $134 | 203% |
| Geisinger Health Plan | $8 - $124 | 203% |
| National Transplant Network (Ntn) | $8 - $134 | 203% |
| Six Degrees Health | $8 - $134 | 203% |
| Integra Administrative Group | $8 - $124 | 203% |
| Life Trac Solid Organ and Bmt Transplant | $9 - $144 | 228% |
| Preferred Healthcare | $12 - $196 | 304% |
| Multiplan | $12 - $196 | 304% |
| Interlink Transplant Network | $12 - $196 | 304% |
| Insurance Administrators of America | $12 - $196 | 304% |
| Private Healthcare Systems | $12 - $196 | 304% |
| Three Rivers Provider Network | $12 - $196 | 304% |
| First Health Network | $12 - $196 | 304% |