Blood test, urea nitrogen (BUN, kidney)
Facility: Rehabilitation Hospital of Wisconsin
Billing Code: 84520 (CPT)
- CPT Billing Code: 84520
- Insurance Median: $52
- Cash Discount Price: $69
- vs. Medicare Baseline: 13.16x 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 1316% of the Medicare baseline (a markup of 1216%). 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 |
|---|---|---|
| Dean PPO Hmo/Pos | $21 - $74 | 532% |
| Alliance PPO | $21 - $74 | 532% |
| UnitedHealthcare | $21 - $107 | 532% |
| Medica (Under Dean) | $21 - $74 | 532% |
| Wps "Insurance" PPO | $22 - $78 | 557% |
| Trilogy PPO | $22 - $107 | 557% |
| Hps Solutions PPO | $23 - $81 | 582% |
| PHCS Savility | $23 - $80 | 582% |
| Health Eos Poc | $24 - $86 | 608% |
| Aetna | $24 - $107 | 608% |
| Hps (Other) | $25 - $88 | 633% |
| Coventry/First Health PPO | $25 - $88 | 633% |
| Health Eos Multiplan | $26 - $91 | 658% |
| PHCS / Multiplan | $28 - $98 | 709% |
| Centivo Narrow/Value | $30 - $107 | 759% |
| Wellcare McR | $30 - $107 | 759% |
| Network Health - Commercial | $30 - $107 | 759% |
| Centivo Intermediate/Median | $30 - $107 | 759% |
| Network Health - Aca | $30 - $107 | 759% |
| Blue Cross Blue Shield | $30 - $107 | 759% |
| Security Health Plan - Advocare | $30 - $107 | 759% |
| Medicaid / KanCare | $30 - $107 | 759% |
| Medicare (plans) | $30 - $107 | 759% |
| Centivo Broad | $30 - $107 | 759% |
| Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) | $30 - $107 | 759% |
| Managed Health Services (Mhs) | $30 - $107 | 759% |
| Community Care, Inc | $30 - $107 | 759% |
| Molina (Fka Care Wisconsin) | $30 - $107 | 759% |
| Icare McD | $30 - $107 | 759% |
| Humana | $30 - $107 | 759% |
| Together With Cchp | $30 - $107 | 759% |
| Unity Health Plan and Unity Quartz(Hmo/Pos) | $30 - $107 | 759% |
| Cigna | $30 - $107 | 759% |
| All Savers | $30 - $107 | 759% |
| VA - Primary Only - Authorization Required | $30 - $107 | 759% |
| Children's Communty Health Plan(Cchp) | $30 - $107 | 759% |