CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Kona Community Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Kona Community Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 79-1019 Haukapila Street, Kealakekua, HI.
Cash / Self-Pay
$38

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: $38 (962%)
Insurance Median: $5 (127%)
Cash: $38 (962% 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
Kaiser Permanente $4 - $38 101%
Hmsa $4 - $9 101%
UnitedHealthcare $4 - $5 101%
Kaiser $4 101%
Ohana Health Plan $4 - $5 101%
Humana $4 101%
Devoted Health $4 101%
Ohana $4 101%
Hawaii Western Management Group $4 - $5 101%
Hawaii Medical Service Association $4 - $6 101%
Alohacare $4 - $5 101%
Health Management Network $7 - $52 177%
Uha $10 253%
University Health Alliance $10 253%
Hma $10 253%
Hmaa $11 278%
Mdx Hawaii $59 1494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-1019 Haukapila Street, Kealakekua, HI 96750
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals