CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Mercyone Centerville Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $61
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 15.44x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mercyone Centerville Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 15.44x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $65 (1646%)
Insurance Median: $61 (1544%)
Cash: $65 (1646% of Medicare)
Ins. Median: $61 (1544% 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 1544% of the Medicare baseline (a markup of 1444%). 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
Iowa Total Care $18 456%
Medicaid / KanCare $18 456%
Medicare (plans) $18 - $20 456%
Aetna $19 - $61 481%
Blue Cross Blue Shield $19 481%
UnitedHealthcare $20 - $65 506%
Amish Hospital Aid $25 633%
Ambetter / Centene $32 810%
Claimdoc $38 962%
Nova $38 962%
Geha $47 1190%
Health Choices $50 1266%
Medical Associates $50 1266%
1199 National Benefit Fund $61 1544%
Allied Benefit Systems $61 1544%
Asr Health Benefits $61 1544%
Christian Brother Services $61 1544%
Coventry $61 1544%
First Health $61 1544%
Lucent Health $61 1544%
Luminare Health $61 1544%
Medical Mutual $61 1544%
Meritain $61 1544%
Trustmark Small Business Benefits $61 1544%
Webtpa $61 1544%
Health Partners $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: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals