CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Deaconess Illinois Crossroads

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $17
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 4.30x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Deaconess Illinois Crossroads is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 4.30x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $48 (1215%)
Insurance Median: $17 (430%)
Cash: $48 (1215% of Medicare)
Ins. Median: $17 (430% 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 430% of the Medicare baseline (a markup of 330%). 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
UnitedHealthcare $2 - $126 51%
Aetna $4 - $172 101%
Alliance Coal $4 101%
Blue Cross Blue Shield $4 - $103 101%
Care Improvement Plus $4 101%
Deaconess Onecare $4 - $115 101%
Encore Combined $4 - $133 101%
Encore Prime/Elite/Elite + $4 - $119 101%
Humana $4 - $170 101%
Meridian Health Plan $4 101%
Molina Healthcare Of Illinois $4 101%
Mytru Advantage $4 101%
Umwa $4 101%
Wellcare $4 101%
Alter-Net Medical Services, Inc. $6 - $76 152%
Noncontracted $6 152%
Self-Pay $10 - $48 253%
Cigna $11 - $85 278%
Hope Trust $11 - $76 278%
Prime Health Services $22 - $163 557%
Guardian Resources, Inc. $24 - $183 608%
Healthcare'S Finest Network (Hfn) $25 - $185 633%
Medicalcontrol Network Solutions $25 - $185 633%
National Provider Network $25 - $185 633%
Three Rivers Provider Network $25 - $189 633%
Beech Street $26 - $191 658%
Wexford Health Sources $98 - $152 2481%
Great West Healthcare Of Illinois $163 4127%
Multiplan - Primary Network - Phcs $171 4329%
Healthlink $174 - $185 4405%
Coventry Healthcare $183 4633%
First Health $183 4633%
Multiplan - Complementary Network $186 4709%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals