CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Mercyone Des Moines Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $33
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 8.35x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mercyone Des Moines Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 8.35x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $62 (1570%)
Insurance Median: $33 (835%)
Cash: $62 (1570% of Medicare)
Ins. Median: $33 (835% 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 835% of the Medicare baseline (a markup of 735%). 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 - $33 101%
Blue Cross Blue Shield $4 101%
Geha $4 101%
Iowa Total Care $4 101%
Medicaid / KanCare $4 101%
Medicare (plans) $4 101%
UnitedHealthcare $4 - $96 101%
Amish Hospital Aid $5 127%
Centivo $6 152%
Oscar $6 152%
Ambetter / Centene $7 177%
Claimdoc $8 203%
Nova $8 203%
Health Choices $19 481%
Medical Associates $19 481%
1199 National Benefit Fund $33 835%
Allied Benefit Systems $33 835%
Asr Health Benefits $33 835%
Christian Brother Services $33 835%
Coventry $33 835%
First Health $33 835%
Lucent Health $33 835%
Luminare Health $33 835%
Medical Mutual $33 835%
Meritain $33 835%
Trustmark Small Business Benefits $33 835%
Webtpa $33 835%
Cigna $58 1468%
Health Partners $61 1544%
Auxiant $62 1570%
Medica $62 1570%
Midlands $62 1570%
Midlands Choice $62 1570%
Usa Managed Care $82 2076%
Crime Victim Assistance $96 2430%
Iowa Dept Of Public Health $96 2430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals