CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Via Christi Hospital Wichita St Teresa, Inc

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Via Christi Hospital Wichita St Teresa, Inc is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 14800 West Teresa St, Wichita, KS.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $4 (101%)
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
Smarthealth $1 - $6 25%
UnitedHealthcare $4 - $11 101%
Blue Cross Blue Shield $4 101%
Via Christi Research $4 101%
Medicare (plans) $4 101%
Humana $4 101%
Va $4 101%
Vc Hope $4 101%
Saint Lukes Health Systems $4 101%
Corizon $5 127%
Medicaid / KanCare $7 177%
Aetna $12 304%
Coventry City Of Wichita $16 405%

Consumer Guidance & Cost Commentary

This blood test for urea nitrogen (BUN) at Via Christi Hospital Wichita St Teresa, Inc. has a negotiated rate of $4.00, which aligns closely with the state of Kansas average of $4.00 and the national average of $3.95. While the facility is an in-network provider for many major payers including Medicare, UnitedHealthcare, and Blue Cross Blue Shield, the negotiated rate does not exceed the state average. For patients with high-deductible plans, the cash price may be lower than the insurance negotiated rate, making it financially advantageous to pay out-of-pocket if the facility offers a prompt-pay discount. It is important to verify the specific cash price and any self-pay or prompt-pay incentives directly with the hospital before scheduling, as these upfront payment options can significantly reduce the final cost.

The facility's pricing is benchmarked against Medicare, which sets a fixed rate of $3.95 for this service. The negotiated rate of $4.00 represents a minimal increase over the Medicare baseline, indicating a fair markup that is well within the range of typical commercial rates. Since this is a routine laboratory test, there is a low risk of unexpected balance billing for out-of-network ancillary services, though patients should still review their itemized bill to ensure no unbundled charges or services not rendered are included. To maximize savings, consumers should request a full itemized CPT-coded bill prior to payment and confirm their deductible status, as paying the negotiated rate may be unnecessary if the patient has not yet met their out-of-pocket threshold.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14800 West Teresa St, Wichita, KS 67235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals