CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $69
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 17.47x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Eastern Idaho Regional Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 17.47x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $165 (4177%)
Insurance Median: $69 (1747%)
Cash: $165 (4177% of Medicare)
Ins. Median: $69 (1747% 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 1747% of the Medicare baseline (a markup of 1647%). 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 $3 - $156 76%
Molina $3 - $4 76%
Humana $4 - $138 101%
Prime Health $4 - $140 101%
Regence Blue Shield $4 101%
Rexburg Care And Rehab $4 101%
Triwest Healthcare Alliance $4 101%
United $4 - $95 101%
Veteran'S Administration $4 101%
Regence $6 152%
Select Health $50 1266%
Select Health Ichn Brightpath $50 - $56 1266%
Select Health Idaho (Eirmc Only) $53 1342%
Aetna $65 - $80 1646%
Doug Andrus Distributing $66 1671%
Pacificsource Health $69 - $88 1747%
University Of Utah $69 1747%
Mountain Health Co-Op $82 - $124 2076%
Cigna $91 2304%
First Choice Health Of Washington $99 2506%
Moda $103 2608%
Dmba $106 2684%
Geha Ppo Usa $132 3342%
Multiplan $138 - $148 3494%
First Choice Of The Midwest $148 3747%
Interwest Health $148 3747%
St. John'S Health Network $148 3747%
Coventry First Health $150 3797%
Shashone-Bannock Tribal Health $165 4177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals