CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Anderson Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Anderson Hospital is $6. 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 1.52x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (152%)
Cash: $65 (1646% of Medicare)
Ins. Median: $6 (152% 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.

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
Aetna $4 - $6 101%
Clear Springs Health $4 101%
Devoted Health Ppo $4 101%
Essence $4 101%
Humana $4 101%
Medicaid / KanCare $4 - $6 101%
Medicare (plans) $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $6 101%
Health Care Service Corporation $5 - $60 127%
Ambetter / Centene $6 152%
Blue Choice $6 152%
Mercy Aco $7 177%
Mercy Benefit Admin $7 177%
Hopetrust $10 253%
Work Comp $19 - $26,600 481%
Healthlink $22 557%
Self Pay $65 - $25,000 1646%
Blue Cross Blue Shield $70 - $72 1772%
Cigna $98 2481%
Multiplan/Phcs $98 2481%
Beech Street Corporation $117 2962%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals