CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Methodist Hospitals Inc

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Methodist Hospitals Inc is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 600 Grant St, Gary, IN.
Cash / Self-Pay
$79

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: $79 (2000%)
Insurance Median: $6 (152%)
Cash: $79 (2000% 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 - $84 101%
Blue Cross Blue Shield $4 - $97 101%
Caresource $4 101%
Humana $4 101%
Managed Health Services $4 101%
Medicaid / KanCare $4 101%
Medicare (plans) $4 101%
United Heathcare $4 101%
UnitedHealthcare $4 - $6 101%
Zing $4 101%
Caresource Maketplace $7 177%
Ambetter / Centene $8 203%
Magnacare $10 253%
Physicians Health Plan Of Northern Indiana $12 304%
Cigna $43 - $47 1089%
Encore $68 - $101 1722%
Phcs $77 1949%
Siho $79 2000%
Sagamore $81 2051%
Multiplan $82 2076%
Hfn $88 - $96 2228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Grant St, Gary, IN 46402
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals