Blood test, urea nitrogen (BUN, kidney)
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 84520 (CPT)
- CPT Billing Code: 84520
- Insurance Median: $7
- Cash Discount Price: $36
- vs. Medicare Baseline: 1.77x 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.
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 |
|---|---|---|
| Pace Of The Ozarks Contracted [320518] | $4 | 101% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $4 | 101% |
| Dept Of Veteran Affairs Contracted [320106] | $4 | 101% |
| Medicaid / KanCare | $4 - $7 | 101% |
| Kindful Hospice [20434] | $4 | 101% |
| Halo Hcr Inc Hospice [20432] | $4 | 101% |
| Cross Timbers Hospice [20098] | $4 | 101% |
| Tricare | $4 | 101% |
| Halo Hcr Inc Hospice Contracted [320432] | $4 | 101% |
| Aetna | $4 - $48 | 101% |
| UnitedHealthcare | $4 - $38 | 101% |
| Humana | $4 | 101% |
| Medicare (plans) | $4 | 101% |
| Elara Caring Aspire Hospice [20433] | $4 | 101% |
| Kindful Hospice Contracted [320434] | $4 | 101% |
| Mercy Hospice Okc [20252] | $4 | 101% |
| Blue Cross Blue Shield | $4 - $10 | 101% |
| Medica Contracted [320239] | $4 | 101% |
| Health Choice Contracted [320166] | $5 | 127% |
| Ambetter / Centene | $7 | 177% |
| Home State Health Plan Contracted [320187] | $7 | 177% |
| Providrs Care Network Contracted [320484] | $8 | 203% |
| Cigna | $22 | 557% |
| United Medical Resources Contracted [320454] | $38 | 962% |
| Aither Health Contracted [320449] | $45 | 1139% |
| Workers Comp [20426] | $45 | 1139% |
| Yuzu Health Contracted [320521] | $45 | 1139% |
| Reflect Health Contracted [320492] | $45 | 1139% |
| Mercy Benefit Admin Contracted [320251] | $45 | 1139% |
| Auxiant Contracted [320462] | $45 | 1139% |
| Ebms Contracted [320493] | $45 | 1139% |
| Healthlink Contracted [320179] | $45 | 1139% |
| Imagine 360 Contracted [320494] | $45 | 1139% |
| Edison Health Solutions Contracted [320502] | $45 | 1139% |
| American Healthcare Alliance Contracted [320020] | $45 | 1139% |
| First Health Contracted [320128] | $48 | 1215% |
Consumer Guidance & Cost Commentary
For the CPT code 84520 (Blood test, urea nitrogen), Mercy Hospital Pittsburg, Inc. lists a gross charge of $56.00, with a cash median price of $36.00. This cash rate is significantly lower than the facility's negotiated rates, which range from $4 to $48 depending on the payer. While the facility is a voluntary non-profit church-owned acute care hospital in Pittsburg, KS, the data provided does not include specific state or county average figures for this procedure, so a direct comparison to regional pricing benchmarks cannot be made. However, patients with high-deductible plans may find the $36.00 cash price more advantageous than their insurance negotiated rates, which can exceed the cash amount due to administrative overhead and contract structures.
The Medicare benchmark for this service is $3.95, indicating that the facility's cash price of $36.00 represents a substantial markup relative to the federal baseline. Commercial negotiated rates for this test vary widely across 36 different payers, with some plans paying as high as $48.00. To optimize costs, patients should verify their specific plan's allowed amount before scheduling, as in-network rates do not always represent the lowest possible price. Additionally, patients should inquire directly with the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed by bypassing standard insurance billing cycles.