CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: St Elizabeth Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $54
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 13.67x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at St Elizabeth Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 13.67x the Medicare baseline. Located in 1000 Lincoln St, Fort Morgan, CO.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $49 (1241%)
Insurance Median: $54 (1367%)
Cash: $49 (1241% of Medicare)
Ins. Median: $54 (1367% 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 1367% of the Medicare baseline (a markup of 1267%). 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.

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
Aetna $4 - $120 101%
Blue Cross Blue Shield $4 - $18 101%
Cigna $4 - $120 101%
Denver Health $4 - $54 101%
Devoted Health $4 101%
Humana $4 101%
Kaiser $4 101%
Medicare (plans) $4 101%
UnitedHealthcare $4 - $107 101%
Centura Employee Plan $5 127%
United Colorado Doctor'S Plan $96 2430%
Direct To Employer $101 2557%
Multiplan $116 - $120 2937%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Lincoln St, Fort Morgan, CO 80701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals