CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Baldwin Health

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Baldwin Health is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $59 (1494%)
Insurance Median: $6 (152%)
Cash: $59 (1494% of Medicare)
Ins. Median: $6 (152% 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
First Choice $2 51%
Bc Pml $3 76%
Medicaid / KanCare $3 76%
Node Champva $3 76%
Tricare $3 76%
Aetna $4 - $219 101%
Blue Cross Blue Shield $4 - $7 101%
Cigna $4 - $16 101%
Community Hospice $4 101%
Hospice $4 101%
Humana $4 101%
Medicare (plans) $4 101%
Mercy Medical Hospice $4 101%
Node Clover Health Mcr Adv $4 101%
Node Devoted Health Mcr Adv $4 101%
Node Va $4 101%
Node Wellcare Mcr Adv $4 101%
Select Health $4 101%
Triwest $4 101%
UnitedHealthcare $4 101%
Veterans Eval Services $4 101%
Windsor Health Plan $4 101%
Us Dol $5 127%
Ambetter / Centene $6 152%
Self Pay $44 - $73 1114%
American Employee Alliance $98 2481%
Multiplan $139 - $200 3519%
First Health $183 - $197 4633%
Alamed $186 4709%
Multiplan Inc $186 4709%
Coventry Work Comp Al $191 4835%
One Health $195 4937%
Pro America $195 4937%
Novanet $197 4987%
Alabama Wc $207 5241%
Gulf Health $207 5241%
Principal Ppo $207 5241%
Viva Health $207 5241%
National Health $219 5544%
Galaxy $222 5620%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals