CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $18
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 4.56x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Saint Alphonsus Medical Center - Nampa is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 4.56x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $25 (633%)
Insurance Median: $18 (456%)
Cash: $25 (633% of Medicare)
Ins. Median: $18 (456% 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 456% of the Medicare baseline (a markup of 356%). 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
Ada County Jail Inmate Ins $3 76%
Centurion Of Idaho $3 76%
Id County Ada $3 76%
Id County Canyon $3 76%
Id County Cat Fund $3 76%
Id County Payette $3 76%
Idaho Dept Health And Wellfare $3 76%
Medicaid / KanCare $3 - $17 76%
Aetna $4 - $33 101%
American Health Advantage Of Idaho $4 101%
Blue Cross Blue Shield $4 - $18 101%
Blue Shield - Id (Regence) $4 - $6 101%
Medicare (plans) $4 101%
Moda Health $4 - $32 101%
UnitedHealthcare $4 - $34 101%
Asuris Northwest Health $6 152%
Blue Shield - Wa (Regence) $6 - $18 152%
Healthcare Management Admin $6 152%
Prime Healthcare $7 177%
Molina Marketplace $9 228%
Webtpa $10 - $34 253%
Selecthealth $13 - $34 329%
Cigna $15 380%
Priority Health $15 380%
Providence $15 - $34 380%
Trillium Community Ohp $17 430%
Bcn Domestic $18 456%
Blue Benefit Administrators Of Massachusetts $18 456%
Blue Care Network $18 456%
Blue Distinction Transplant $18 456%
Blue Shield - Ca $18 456%
Blue Shield - Ny Highmark Northeastern $18 456%
Blue Shield - Ny Highmark Western $18 456%
Blue Shield - Pa (Highmark) $18 456%
Health Choices $18 456%
Kaiser Domestic $18 456%
Pre-Employment $18 456%
Wc Domestic $18 456%
Mountain Health Co-Op $23 582%
Pacificsource Health Plans $23 - $28 582%
Allegiance $28 709%
Columbia Health Network $28 709%
First Health $32 810%
Medi Share $32 810%
Allied Benefit Systems $33 835%
Ameriben $33 835%
Asr Health Benefits $33 835%
Boon Chapman $33 835%
Christian Brother Services $33 835%
Geha $33 - $34 835%
Healthez $33 835%
Humana $33 835%
Luminare Health (Detroit) $33 835%
Meritain $33 835%
Rural Carrier Health Benefit Plan $33 835%
Allied National Global Care $34 861%
Asrm - Reliance Standard Life Insurance $34 861%
Christian Care Ministry $34 861%
Correctional Health Partners $34 861%
Dean Health $34 861%
Fallon Health $34 861%
Family Life Insurance Company $34 861%
First Choice Health $34 861%
Ghc Scw $34 861%
International Benefit Administrators $34 861%
Lifetime Benefit Solutions $34 861%
Manhattan Life $34 861%
Pai $34 861%
Pan-American Life $34 861%
Paramount Hmo $34 861%
Phcs $34 861%
Trinity Health Share $34 861%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4300 E Flamingo Ave, Nampa, ID 83687
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals