CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Craig Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $232
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 58.73x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Craig Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 58.73x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $128 (3241%)
Insurance Median: $232 (5873%)
Cash: $128 (3241% of Medicare)
Ins. Median: $232 (5873% 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 5873% of the Medicare baseline (a markup of 5773%). 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
Veterans Administration $3 76%
Cms $4 101%
UnitedHealthcare $4 - $168 101%
Cigna $170 4304%
Kaiser $175 4430%
Blue Cross Blue Shield $179 4532%
Carisk Outcomes $185 4684%
Zenith $201 5089%
Aetna $210 5316%
Corvel Worker'S Comp $216 5468%
Liberty Mutual Worker'S Comp $216 5468%
Paradigm $216 - $229 5468%
Rocky Mountain Health Plan $226 - $241 5722%
Midwest Employers Casualty $229 5797%
Coventry/First Health $232 5873%
Fcci Worker'S Comp $232 5873%
Geha/Ppo Usa $232 5873%
Great-West Healthcare $232 5873%
Multiplan/Phcs $232 - $244 5873%
Prime Health Services $235 5949%
First Choice Health $241 6101%
Focus Worker'S Comp $247 6253%
General Reinsurance $247 - $263 6253%
Provider Network Of America $247 6253%
Three Rivers Provider Network $247 - $253 6253%
Wyoming Worker'S Comp $247 6253%
Allstate $263 6658%
Tricare $263 6658%
National Provider Network $278 7038%
Up & Up $278 7038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL