CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Hammond Henry Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $56
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 14.18x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Hammond Henry Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 14.18x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $68 (1722%)
Insurance Median: $56 (1418%)
Cash: $68 (1722% of Medicare)
Ins. Median: $56 (1418% 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 1418% of the Medicare baseline (a markup of 1318%). 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
Quad City Community Hc-All Plans $3 76%
Aetna $10 - $57 253%
Blue Cross Blue Shield $10 - $46 253%
Meridian Health Plan-All Plans $10 253%
Geneseo Good Samaritan Village Op Only-All Plans $17 430%
Tricare $20 506%
Health Alliance Mcare Adv $22 557%
Humana $22 - $68 557%
UnitedHealthcare $22 - $56 557%
Wellmark Of Ia-All Plans $38 962%
Springfield Armory-All Plans $49 1241%
Ambetter / Centene $53 1342%
Health Alliance-All Other Plans $57 1443%
Multiplan Integrated Hp $57 1443%
Cigna $59 1494%
Multiplan Pponext $61 1544%
Osf Direct Access Network-All Plans $61 1544%
Multiplan-All Other Plans $65 1646%
Corvel-All Plans $68 1722%
Healthsmart Adult-All Other Plans $68 1722%
Healthsmart Pediatric $68 1722%
Hfn-All Plans $68 1722%
Multiplan Beech Street $68 1722%
Multiplan Phcs Adult $68 1722%
Multiplan Phcs Pediatric $68 1722%
Usa Mco-All Plans $68 1722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 N College Avenue, Geneseo, IL 61254
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals