CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Northwest Health - Starke

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Northwest Health - Starke is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $11 (278%)
Insurance Median: $4 (101%)
Cash: $11 (278% of Medicare)
Ins. Median: $4 (101% 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
Lutheran $1 - $21 25%
Medpartners $1 - $25 25%
Self Pay $1 - $42 25%
Alpha Baking $2 - $34 51%
Blue Cross Blue Shield $2 - $6 51%
Physicians Health Plan $2 - $31 51%
Encore $3 - $66 76%
Php $3 - $46 76%
UnitedHealthcare $3 - $54 76%
Aetna $4 - $66 101%
Caresource $4 101%
Cigna $4 - $63 101%
Community Health Alliance $4 - $68 101%
Coventry First Health $4 - $66 101%
Humana $4 101%
In Dept Of Correction $4 101%
Lutheran Network $4 - $67 101%
Managed Health Services $4 - $8 101%
Medicaid / KanCare $4 101%
Medicare (plans) $4 101%
Mhs $4 101%
Multiplan Inc $4 - $68 101%
Node Champva $4 101%
Node Devoted Health Mcr Adv $4 101%
Node Hospice Non Par Agree $4 101%
Node Pphp Mcr Adv $4 101%
Node Va $4 101%
Ppom $4 - $71 101%
Sagamore Health Network $4 - $67 101%
Tricare $4 101%
Us Department Of Labor $5 127%
Indiana Workers Comp $8 203%
Encore Kba Epo $9 228%
Magnacare Ma $9 228%
Encore Kba Ppo $12 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals