CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Children's Hospital Colorado

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $18
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 4.56x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Children's Hospital Colorado is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 4.56x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $18 (456%)
Insurance Median: $18 (456%)
Cash: $18 (456% of Medicare)
Ins. Median: $18 (456% 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 456% of the Medicare baseline (a markup of 356%). 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
Integrated Health Plan $1 - $19 25%
Ccha Behavioral Health $2 - $13 51%
Kaiser $3 - $94 76%
Carelon Behavioral Health $4 - $90 101%
Colorado Access $4 - $63 101%
Colorado Access Behavioral Health $4 - $63 101%
Denver Health Medical Plan $4 - $97 101%
Presbyterian Health Plan $4 - $74 101%
Rocky Mountain Health Plan Behavioral Health $4 - $52 101%
UnitedHealthcare $4 - $64 101%
Blue Cross Blue Shield $5 - $97 127%
Healthy Blue Of Nebraska $5 - $75 127%
Humana $5 - $90 127%
Molina Healthcare Of Nebraska $5 - $71 127%
Molina Healthcare Of New Mexico $5 - $71 127%
Peak Health Alliance/Ebms $5 - $77 127%
Rocky Mountain Health Plan $5 - $84 127%
Centivo $6 - $89 152%
Cigna $6 - $93 152%
Evernorth Behavioral Health $6 - $84 152%
Interlink National $6 - $97 152%
Select Health $6 - $90 152%
Uchealth Plan Administrators $6 - $90 152%
Aetna $7 - $103 177%
Department Of Corrections $7 - $101 177%
Cofinity $8 - $116 203%
Comppsych Behavioral Health $8 - $110 203%
First Choice Health $8 - $110 203%
First Choice Of The Midwest $8 - $116 203%
First Health Network $8 - $119 203%
Midlands Choice $8 - $110 203%
Multiplan $8 - $111 203%
National Preferred Provider Network $8 - $110 203%
Usa Managed Care Organization $8 - $116 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13123 E 16Th Ave, Aurora, CO 80045
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens