Blood test, urea nitrogen (BUN, kidney)
Facility: Dupont Hospital LLC
Billing Code: 84520 (CPT)
- CPT Billing Code: 84520
- Insurance Median: $8
- Cash Discount Price: $6
- vs. Medicare Baseline: 2.03x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 203% of the Medicare baseline (a markup of 103%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Amish Aid | $2 - $24 | 51% |
| Blue Cross Blue Shield | $2 - $6 | 51% |
| Self Pay | $2 - $40 | 51% |
| Aetna | $3 - $39 | 76% |
| Cigna | $3 - $32 | 76% |
| Lutheran Preferred | $3 - $53 | 76% |
| Physicians Health Plan | $3 - $34 | 76% |
| UnitedHealthcare | $3 - $43 | 76% |
| Caresource | $4 | 101% |
| Department Of Veterans Affairs | $4 | 101% |
| Encore Ppo | $4 - $44 | 101% |
| Humana | $4 | 101% |
| In Dept Of Correction | $4 | 101% |
| Iu Health | $4 | 101% |
| Lutheran Network | $4 - $44 | 101% |
| Managed Health Services | $4 - $8 | 101% |
| Medicaid / KanCare | $4 | 101% |
| Medicare (plans) | $4 | 101% |
| Node Devoted Health Mcr Adv | $4 | 101% |
| Node Mhs Mcr Adv | $4 | 101% |
| Node Non Par Hospice Agree | $4 | 101% |
| Node Pphp Mcr Adv | $4 | 101% |
| Node Va | $4 | 101% |
| Tricare | $4 | 101% |
| Veterans Eval Services | $4 | 101% |
| Medical Mutual Of Oh | $5 - $47 | 127% |
| Php Freedom Network | $5 - $8 | 127% |
| Sagamore | $5 - $49 | 127% |
| Us Department Of Labor | $5 | 127% |
| Align In Work Comp | $6 | 152% |
| Lutheran Advanced Network | $6 | 152% |
| Lutheran Preferred Fixed 2 | $6 | 152% |
| Prime Health Services | $6 - $66 | 152% |
| Advantage Health Solutions | $7 - $73 | 177% |
| Encore Health Network | $7 - $79 | 177% |
| Encore Work Comp In | $7 | 177% |
| Frontpath | $7 - $70 | 177% |
| Multiplan | $7 - $79 | 177% |
| Allied Benefit Systems | $8 - $79 | 203% |
| In Work Comp | $8 | 203% |
| Encore Kba Epo | $9 | 228% |
| Encore Kba Ppo | $12 | 304% |