CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $110
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 27.85x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Ann & Robert H Lurie Childrens Hospital of Chicago is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 27.85x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $97 (2456%)
Insurance Median: $110 (2785%)
Cash: $97 (2456% of Medicare)
Ins. Median: $110 (2785% 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 2785% of the Medicare baseline (a markup of 2685%). 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
Medicare (plans) $23 - $2,656 582%
Mercycare Health $51 1291%
Cigna $58 - $98 1468%
Blue Cross Blue Shield $60 - $110 1519%
Aetna $69 - $108 1747%
Beacon Health Options $69 1747%
La Rabida Childrens Hospital $69 1747%
Centegra $83 2101%
Independent Physicians At Mercy $83 2101%
UnitedHealthcare $84 - $92 2127%
Advanced Physicians Association Ipa $97 2456%
Health Plus $97 2456%
Imagine Health $97 2456%
Methodist First Choice $97 2456%
Northwest Community Healthcare $97 2456%
Presence Health Partners $97 2456%
St. Francis $97 2456%
Ui Health $97 2456%
West Suburban Health Providers $97 2456%
Shriners Hospital $104 2633%
Swedish Covenant Physician Partners $104 2633%
American Psych Systems $110 2785%
Health Alliance $110 2785%
Macneal Health $110 2785%
Magellan $110 - $900 2785%
Healthlink Inc. $114 2886%
Cofinity $117 2962%
Hfn Inc $117 - $124 2962%
Humana $117 2962%
Principal Healthcare $117 2962%
St. Elizabeth $117 2962%
First Health $121 3063%
Healthstar $121 3063%
Preferred Health Network $121 3063%
Sagamore Health Network $121 3063%
Beech Street $124 3139%
Benchmark Health $124 3139%
Employer'S Coalition On Health $124 3139%
Private Health Care System $124 3139%
Security Health Plan $124 3139%
Swedish American $124 3139%
Wellmark/Healthnetwork $127 3215%
Health Smart $131 3316%
Integrated Health Plan $131 3316%
Multiplan $131 3316%
National Provider Network $131 3316%
Wea Insurance Group $131 3316%
Unicare $3,678 - $8,500 93114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens