Blood test, urea nitrogen (BUN, kidney)
Facility: Kingman Healthcare Center
Billing Code: 84520 (CPT)
- CPT Billing Code: 84520
- Insurance Median: $4
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.01x 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 |
|---|---|---|
| Medicaid / KanCare | $4 | 101% |
| Healthy Blue | $4 | 101% |
| Triwest | $4 | 101% |
Consumer Guidance & Cost Commentary
For this blood test service at Kingman Healthcare Center in Kansas, the negotiated rates for Medicaid/KanCare, Healthy Blue, and Triwest are all set at $4.00, matching the facility's median negotiated amount exactly. This rate is identical to the Medicare benchmark of $3.95, indicating no markup above the federal baseline. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, there is no available cash or median paid data to compare against these negotiated figures.
Because the negotiated rate aligns with the Medicare benchmark, patients with high-deductible plans might find it beneficial to inquire about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can sometimes lower the total cost. It is important to note that balance billing is generally prohibited for in-network services under the No Surprises Act, but patients should still request an itemized bill to ensure no unexpected charges for ancillary services. If you have insurance, verify your deductible status before proceeding, as the $4.00 rate represents the amount your plan will pay rather than your out-of-pocket cost.