CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Mount Desert Island Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $1,103
Cash Discount Price: $1,589
vs. Medicare Baseline: 279.24x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mount Desert Island Hospital is $1,103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,589. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 279.24x the Medicare baseline. Located in 10 Wayman Lane, Bar Harbor, ME.

Cash / Self-Pay

$1,589

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,103

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: $1,589 (40228%)

Insurance Median: $1,103 (27924%)

Cash: $1,589 (40228% of Medicare)

Ins. Median: $1,103 (27924% 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 27924% of the Medicare baseline (a markup of 27824%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Wellcare	$794	20101%
Blue Cross Blue Shield	$794 - $1,373	20101%
Aetna	$794 - $1,615	20101%
UnitedHealthcare	$794 - $1,059	20101%
Martins Point	$794	20101%
Cigna	$794 - $1,641	20101%
Healthnet	$1,147	29038%
Community Health Options	$1,500	37975%
Harvard Pilgrim	$1,597	40430%
First Health	$1,677	42456%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,589.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84520.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mount Desert Island Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84520.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.