CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Kossuth Regional Health Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $55
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 13.92x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Kossuth Regional Health Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 13.92x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $58 (1468%)
Insurance Median: $55 (1392%)
Cash: $58 (1468% of Medicare)
Ins. Median: $55 (1392% 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 1392% of the Medicare baseline (a markup of 1292%). 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
Blue Cross Blue Shield $6 - $7 152%
Amerigroup Mcr Adv - All Other Plans $28 709%
Humana $28 709%
Mercy One - All Plans $28 709%
Va Ccn - All Plans $28 709%
UnitedHealthcare $29 - $55 734%
Health Partners New Bus - All Other Plans $51 1291%
Midlands Choice - All Plans $51 1291%
Medical Associates - All Plans $62 1570%
Preferred Health - All Plans $62 1570%
Aetna $68 - $71 1722%
Multiplan - All Plans $69 1747%
Health Partners Exisiting Bus $71 1797%
Molina Mcaid/Chip - All Plans $75 1899%
Amerigroup Mcaid $76 1924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals