CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Boone County Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $23
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 5.82x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Boone County Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 5.82x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $24 (608%)
Insurance Median: $23 (582%)
Cash: $24 (608% of Medicare)
Ins. Median: $23 (582% 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 582% of the Medicare baseline (a markup of 482%). 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
Amerigroup Mcr Adv - All Other Plans $2 - $23 51%
Choice Care Mcr Adv - All Plans $2 - $23 51%
Humana $2 - $50 51%
Iowa Hlth Adv - All Plans $2 - $23 51%
Mt Carmel Hp - All Plans $2 - $23 51%
UnitedHealthcare $2 - $32 51%
Va Ccn-All Plans $2 51%
Aetna $3 - $43 76%
Iowa Total Care Mcaid - All Plans $3 - $25 76%
Medicaid / KanCare $3 - $25 76%
Meridian Mcaid - All Plans $3 - $25 76%
Healthsmart Accell Network $4 - $38 101%
Medical Associates Hp-All Plans $4 - $41 101%
Tricare $4 101%
Health Alliance-All Plans $5 - $50 127%
Healthsmart Ppo - All Other Plans $5 - $44 127%
Midlands Choice-All Plans $6 - $51 152%
Mutually Preferred-All Plans $6 - $52 152%
Wellmark Hmo $23 582%
Wellmark Ppo - All Other Plans $25 633%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals