CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Mercyone Oelwein Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $51
  • Cash Discount Price: $142
  • vs. Medicare Baseline: 12.91x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mercyone Oelwein Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 12.91x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$142

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $142 (3595%)
Insurance Median: $51 (1291%)
Cash: $142 (3595% of Medicare)
Ins. Median: $51 (1291% 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 1291% of the Medicare baseline (a markup of 1191%). 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 - $60 101%
Blue Cross Blue Shield $4 - $26 101%
Medicare (plans) $4 - $28 101%
UnitedHealthcare $4 - $46 101%
Iowa Total Care $25 633%
Medicaid / KanCare $26 658%
Amish Hospital Aid $35 886%
Centivo $40 1013%
Ambetter / Centene $45 1139%
Geha $46 1165%
Health Choices $48 1215%
Medical Associates $48 1215%
Claimdoc $54 1367%
Nova $54 1367%
1199 National Benefit Fund $60 1519%
Allied Benefit Systems $60 1519%
Asr Health Benefits $60 1519%
Christian Brother Services $60 1519%
Coventry $60 1519%
First Health $60 1519%
Lucent Health $60 1519%
Luminare Health $60 1519%
Medical Mutual $60 1519%
Meritain $60 1519%
Trustmark Small Business Benefits $60 1519%
Webtpa $60 1519%
Health Partners $63 1595%
Multiplan $63 1595%
Auxiant $64 1620%
Cigna $64 1620%
Medica $64 1620%
Midlands $64 1620%
Midlands Choice $64 1620%
Crime Victim Assistance $65 1646%
Iowa Dept Of Public Health $65 1646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals