CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Wesley Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $261
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Wesley Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 550 N Hillside Street, Wichita, KS.
Cash / Self-Pay
$261

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $261 (6608%)
Insurance Median: $6 (152%)
Cash: $261 (6608% of Medicare)
Ins. Median: $6 (152% 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
United $2 - $230 51%
Ambetter / Centene $2 - $92 51%
Wppa $2 - $89 51%
Medical Associates Health Plan $2 - $96 51%
Health Partners Of Kansas $2 - $255 51%
Preferred Health Choices $2 - $96 51%
Humana $4 101%
Coventry Health Care $4 101%
Devoted Health $4 101%
Aetna $4 - $182 101%
Spirit Aerosystems $4 - $163 101%
UnitedHealthcare $4 101%
Medicaid / KanCare $4 101%
Triwest Health Alliance $4 101%
Amerigroup $4 101%
First Health $6 - $235 152%
Correct Care Solutions $6 152%
Multiplan $8 - $459 203%
Triwest Healthcare Alliance $8 - $332 203%
Usa Managed Care $10 - $434 253%
Blue Cross Blue Shield $10 253%

Consumer Guidance & Cost Commentary

For the blood test code 84520 (urea nitrogen/BUN) at Wesley Medical Center in Wichita, KS, the cash price is $261.00, which matches the facility's median negotiated rate. This cash price is significantly higher than the state average, which is approximately 1.5 times the Medicare benchmark of $3.95. While many insurance plans in Kansas have negotiated rates ranging from $2 to $459, the cash price remains the lowest fixed amount available for this service. Patients with high-deductible plans or those without insurance may find paying the full cash price upfront more cost-effective than relying on insurance, as commercial negotiated rates often exceed the cash price due to administrative overhead and contract dynamics.

To ensure you are not overcharged, it is crucial to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid in full within a short window. If you receive a surprise bill from an out-of-network provider, remember that the No Surprises Act protects you from balance billing for emergency care and non-emergency services at in-network facilities. Always verify your specific plan details and deductible status before scheduling, and never sign away your rights to dispute out-of-network charges without fully understanding the terms.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 N Hillside Street, Wichita, KS 67214
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals