Blood test, urea nitrogen (BUN, kidney)
Facility: Mercy St Francis Hospital
Billing Code: 84520 (CPT)
- CPT Billing Code: 84520
- Insurance Median: $66
- Cash Discount Price: $47
- vs. Medicare Baseline: 16.71x 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 1671% of the Medicare baseline (a markup of 1571%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $4 - $71 | 101% |
| Medicare (plans) | $4 - $26 | 101% |
| Medicaid / KanCare | $4 - $38 | 101% |
| UnitedHealthcare | $5 - $69 | 127% |
| Halo Hcr Inc Hospice [20432] | $20 - $25 | 506% |
| Elara Caring Aspire Hospice [20433] | $20 - $25 | 506% |
| Halo Hcr Inc Hospice Contracted [320432] | $20 - $25 | 506% |
| Qual Choice Contracted [320325] | $20 - $25 | 506% |
| Cross Timbers Hospice [20098] | $20 - $25 | 506% |
| Acentra Health Contracted [320527] | $20 | 506% |
| Indian Health Service Contracted [320198] | $20 - $25 | 506% |
| Pace of the Ozarks Contracted [320518] | $20 - $25 | 506% |
| Humana | $20 - $66 | 506% |
| Dept of Veteran Affairs Contracted [320106] | $20 - $25 | 506% |
| Globalhealth Contracted [320145] | $20 - $25 | 506% |
| Aetna | $20 - $65 | 506% |
| Provider Partners Health Plans Contracted [320450] | $20 - $25 | 506% |
| Mercy Mgd Behavioral Health Contracted [320259] | $20 - $25 | 506% |
| Kindful Hospice [20434] | $20 - $25 | 506% |
| Medical Associates Health Contracted [320444] | $20 - $25 | 506% |
| Cherokee Nation Health Serv Contracted [320066] | $20 - $25 | 506% |
| Cigna | $20 - $69 | 506% |
| Mercy Hospice Okc [20252] | $20 - $25 | 506% |
| Kindful Hospice Contracted [320434] | $20 - $25 | 506% |
| Tricare | $25 | 633% |
| Healthscope Contracted [320182] | $25 - $33 | 633% |
| Centivo Contracted [320505] | $33 - $42 | 835% |
| Administrative Payor Contracted [320005] | $33 | 835% |
| Novasys Contracted [320285] | $38 | 962% |
| Ambetter / Centene | $38 | 962% |
| Home State Health Plan Contracted [320187] | $38 | 962% |
| Preferred Health Plan Contracted [320522] | $47 | 1190% |
| Healthlink Contracted [320179] | $47 - $69 | 1190% |
| Workers Comp [20426] | $58 - $62 | 1468% |
| Point C Contracted [320238] | $66 - $69 | 1671% |
| Mercy Benefit Admin Contracted [320251] | $66 - $69 | 1671% |
| Auxiant Contracted [320462] | $66 - $69 | 1671% |
| United Medical Resources Contracted [320454] | $66 - $68 | 1671% |
| Yuzu Health Contracted [320521] | $69 | 1747% |
| 90 Degree Benefits Contracted [320436] | $69 | 1747% |
| Ebms Contracted [320493] | $69 | 1747% |
| Benefit Management Contracted [320052] | $69 | 1747% |
| Edison Health Solutions Contracted [320502] | $69 | 1747% |
| Evolutions Health Care Contracted [320124] | $69 | 1747% |
| Private Health Care Systems Contracted [320320] | $69 | 1747% |
| Show-Me Health Administrators Contracted [320483] | $69 | 1747% |
| First Health Contracted [320128] | $69 | 1747% |
| Point C [20238] | $69 | 1747% |
| Reflect Health Contracted [320492] | $69 | 1747% |
| Aither Health Contracted [320449] | $69 | 1747% |
| Insurance System Inc Contracted [320465] | $69 | 1747% |
| Medica Contracted [320239] | $69 | 1747% |
| Multiplan Contracted [320270] | $69 | 1747% |
| Imagine 360 Contracted [320494] | $69 | 1747% |
| Health Systems Inc Contracted [320174] | $69 | 1747% |
| USA Managed Care Org Contracted [320429] | $69 | 1747% |