CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Medical Center Enterprise

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Medical Center Enterprise is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $81 (2051%)
Insurance Median: $4 (101%)
Cash: $81 (2051% of Medicare)
Ins. Median: $4 (101% 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
Bc Pml $3 76%
Medicaid / KanCare $3 76%
Node Champva $3 76%
Tricare $3 76%
Aetna $4 - $290 101%
Blue Cross Blue Shield $4 - $6 101%
Covenant Hospice $4 101%
Dayspring Hospice $4 101%
Eon Health $4 101%
Healthspring $4 101%
Humana $4 101%
Medicare (plans) $4 101%
Node Clover Mcr Adv $4 101%
Node Devoted Health Mcr Adv $4 101%
Node Hospice Non Par $4 101%
Node Va $4 101%
Node Wellcare Mcr Adv $4 101%
Occunet $4 101%
Select Health $4 101%
Southerncare Hospice $4 101%
UnitedHealthcare $4 101%
Veterans Eval Services $4 101%
Wiregrass Hospice $4 101%
Al Maternity Waiver Program $5 127%
Node Us Dept Of Labor $5 127%
Ambetter / Centene $6 152%
Cigna $7 - $36 177%
Self Pay $37 - $124 937%
American Employee Alliance $166 4203%
Alamed $248 6278%
Affordable Health $290 7342%
Health Choice $290 7342%
Novanet Ppo $290 7342%
Coventry Work Comp Al $305 7722%
Multiplan $306 - $327 7747%
Wc Dept Ind Relations $331 8380%
Corvel $352 8911%
Galaxy Health $373 9443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals