CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Saint Joseph Regional Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $20
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 5.06x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Saint Joseph Regional Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 5.06x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $49 (1241%)
Insurance Median: $20 (506%)
Cash: $49 (1241% of Medicare)
Ins. Median: $20 (506% 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 506% of the Medicare baseline (a markup of 406%). 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
Aetna $2 - $49 51%
Blue Cross Blue Shield $2 - $8 51%
Medicaid / KanCare $2 - $4 51%
UnitedHealthcare $2 - $48 51%
County Coroner $4 101%
Managed Health Services - Indiana $4 101%
Mdwise $4 101%
Medicare (plans) $4 101%
Meridian Complete $4 101%
Pace-Trinity Health $4 101%
Provider Partners Health Plan Of Indiana $4 101%
Auxiant $6 - $63 152%
Caresource $6 152%
Physicians Health Plan Northern Indiana Health Insurance $6 - $12 152%
Siho Insurance Services $6 152%
St Joseph County Hlth Dpt $6 152%
Key Benefit Administrator $7 - $47 177%
Allied Benefit Systems $8 - $49 203%
Blue Benefit Administrators Of Massachusetts $8 203%
Blue Care Network $8 203%
Blue Distinction Transplant $8 203%
Blue Shield - Ca $8 203%
Blue Shield - Id (Regence) $8 203%
Blue Shield - Ny Highmark Northeastern $8 203%
Blue Shield - Ny Highmark Western $8 203%
Blue Shield - Pa (Highmark) $8 203%
Blue Shield - Wa (Regence) $8 203%
Custom Design Benefits $8 203%
Hospice Of Marshall County $20 506%
Hospice Of St Joseph County $20 506%
Plain Church Group $21 532%
Notre Dame Athletic Association $42 1063%
Wc Notre Dame $42 1063%
Luminare Health (Detroit) $43 - $46 1089%
Encore Health $45 - $47 1139%
Ameriben $46 1165%
Indiana Criminal Justice Inst $47 1190%
Western & Southern Financial Group $47 1190%
Geha $48 1215%
Healthscope $48 1215%
Student Insurance Cma $48 1215%
Asr Health Benefits $49 1241%
Christian Brother Services $49 1241%
Cigna $49 1241%
Employee Benefit Management $49 1241%
Group Administrators $49 1241%
Health Partners $49 1241%
Medical Mutual $49 1241%
Meritain $49 1241%
Mvp $49 1241%
Prairie States $49 1241%
Preferred One $49 1241%
Priority Health $49 1241%
Professional Benefit Administrators $49 1241%
Rural Carrier Health Benefit Plan $49 1241%
Sagamore Health Network $49 - $56 1241%
Sisco Benefits $49 1241%
Unified Group Services $49 1241%
Webtpa $49 1241%
Goshen Preferred Network $59 - $65 1494%
Christian Brothers Holy Cross $61 1544%
Signature Care $61 1544%
Bankers Life Casualty $76 1924%
Bureau Of Disability $76 1924%
Wc Align Network $76 1924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals