CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Saint Mary's Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $7
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Saint Mary's Hospital is $7. 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 1.77x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $7 (177%)
Cash: $18 (456% of Medicare)
Ins. Median: $7 (177% 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
Aetna $4 - $7 101%
Blue Cross Blue Shield $4 - $5 101%
Cca Senior Care Options $4 101%
Cigna $4 - $26 101%
Connecticare $4 - $5 101%
Geha $4 101%
Harvard Pilgrim Healthcare $4 101%
Medicare (plans) $4 101%
UnitedHealthcare $4 - $32 101%
Bcn Domestic $5 127%
Blue Benefit Administrators of Massachusetts $5 127%
Blue Care Network $5 127%
Blue Distinction Transplant $5 127%
Blue Shield - Ca $5 127%
Blue Shield - Id (Regence) $5 127%
Blue Shield - Ny Highmark Northeastern $5 127%
Blue Shield - Ny Highmark Western $5 127%
Blue Shield - PA (Highmark) $5 127%
Blue Shield - Wa (Regence) $5 127%
Centivo $5 127%
Health Choices $5 127%
Kaiser Domestic $5 127%
Pre-Employment $5 127%
Unicare $5 127%
Wc Domestic $5 127%
Wellpoint $5 127%
1199 National Benefit Fund $7 177%
Allied Benefit Systems $7 177%
Gravie Admin Services $7 177%
Hap $7 177%
Luminare Health $7 177%
Meritain $7 177%
Nippon Life Ins $7 177%
Webtpa $7 177%
Allegiance $8 203%
Claimdoc $8 203%
Connecticut Dept of Correction $8 203%
Diversified Administrators $8 203%
Health Partners $8 203%
Innovative Health Plan II $8 203%
Magnacare $8 203%
Carelon Behavioral Health $16 405%
Health New England $17 430%
Allied National Global Care $25 633%
Asrm - Reliance Standard Life Insurance $25 633%
Christian Care Ministry $25 633%
Dean Health $25 633%
Fallon Health $25 633%
Family Life Insurance Company $25 633%
Ghc Scw $25 633%
International Benefit Administrators $25 633%
Lifetime Benefit Solutions $25 633%
Manhattan Life $25 633%
Medi Share $25 633%
Multiplan $25 633%
Mvp $25 633%
PHCS $25 633%
Pai $25 633%
Pan-American Life $25 633%
Paramount HMO $25 633%
Trinity Health Share $25 633%
Prime Health Services $26 658%
Health Smart $27 684%
United Behavioral Health Eap $32 810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals