CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: St Joseph Health System, LLC

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at St Joseph Health System, LLC is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $4 (101%)
Insurance Median: $5 (127%)
Cash: $4 (101% of Medicare)
Ins. Median: $5 (127% 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
Advantage Health Solutions $1 - $76 25%
Aetna $1 - $63 25%
Align Network $1 - $74 25%
Allied Benefit Systems $1 - $83 25%
Amish Aid $1 - $22 25%
Blue Cross Blue Shield $1 - $33 25%
Cigna $1 - $92 25%
Encore Ppo $1 - $83 25%
First Health $1 - $69 25%
Frontpath Health Coalition $1 - $74 25%
Lutheran Preferred $1 - $55 25%
Multiplan $1 - $72 25%
Prime Health Services $1 - $69 25%
Self Pay $1 - $51 25%
Tricare $1 - $4 25%
UnitedHealthcare $1 - $46 25%
Department Of Veterans Affairs $2 - $4 51%
Humana $2 - $4 51%
In Dept Of Correction $2 - $4 51%
Lutheran Advanced Network $2 - $6 51%
Lutheran Network $2 - $51 51%
Managed Health Services $2 - $8 51%
Medical Mutual Of Ohio $2 - $92 51%
Medicare (plans) $2 - $4 51%
Node Devoted Health Mcr Adv $2 - $4 51%
Node Hospice Non Par Agree $2 - $4 51%
Node Pphp Mcr Adv $2 - $4 51%
Node Va $2 - $4 51%
Parkview Healthplan Services $2 - $92 51%
Php $2 - $37 51%
Php Freedom Network $2 - $7 51%
Sagamore $2 - $50 51%
Three Rivers $2 - $41 51%
Us Department Of Labor $2 - $5 51%
Value Options $2 - $92 51%
Veterans Eval Services $2 - $4 51%
Encore Work Comp In $3 - $7 76%
Work Comp $3 - $8 76%
Caresource $4 101%
Encore Kba Epo $4 - $9 101%
Medicaid / KanCare $4 101%
Encore Kba Ppo $5 - $12 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals