CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Memorial Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $57
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 14.43x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Memorial Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 14.43x the Medicare baseline. Located in 701 N First St, Springfield, IL.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $95 (2405%)
Insurance Median: $57 (1443%)
Cash: $95 (2405% of Medicare)
Ins. Median: $57 (1443% 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 1443% of the Medicare baseline (a markup of 1343%). 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
Health Alliance $2 - $62 51%
Veterans Administration $3 76%
Aetna $4 - $72 101%
Blue Cross Blue Shield $4 - $95 101%
Humana $4 - $57 101%
Medicare (plans) $4 - $95 101%
Tricare $4 101%
UnitedHealthcare $4 - $59 101%
Medicaid / KanCare $6 152%
Molina $6 152%
Healthlink $14 - $60 354%
Commercial Workers Compensation $23 582%
Illinois Workers Compensation $24 608%
Current Health Network Ppo $43 1089%
Cigna $50 1266%
Phcs/Multiplan $51 - $57 1291%
6 Degrees Health $57 1443%
Hopetrust $57 1443%
Hst $57 1443%
Magellan $57 1443%
Consociate $62 1570%
Hfn $62 1570%
Preferred Plan $71 1797%
Soi Mcfarland $71 1797%
Soi Rushville $71 1797%
Corvel $76 1924%
Methodist First Choice $76 1924%
Mutual Medical Plans $81 2051%
Liability $95 2405%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N First St, Springfield, IL 62702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals