CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Garrett Regional Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Garrett Regional Medical Center is $5. 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 1.27x the Medicare baseline. Located in 251 North Fourth Street, Oakland, MD.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (127%)
Ins. Median: $5 (127% 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
Aetna $4 - $9 101%
Alliance Coal $4 - $9 101%
American Correctional Healthcare $4 - $9 101%
Amerigroup $4 - $8 101%
Carefirst Commercial $4 - $9 101%
Carefirst Community Health Plan $4 - $8 101%
Carefirst D-Snp $4 - $8 101%
Carefirst Ppo $4 - $8 101%
Caresource Wv $4 - $8 101%
Cigna $4 - $9 101%
Coventry $4 - $8 101%
First Health $4 - $9 101%
Highmark Health Options Wv $4 - $8 101%
Humana $4 - $8 101%
John Hopkins Healthcare $4 - $9 101%
Maryland Physicians Care $4 - $8 101%
Medicare (plans) $4 - $8 101%
Multiplan $4 - $8 101%
Peak Commercial $4 - $9 101%
Provider Partners $4 - $8 101%
Senior Advantage $4 - $8 101%
Stratose/ 4 Most $4 - $9 101%
The Health Plan $4 - $9 101%
The Health Plan Commercial $4 - $9 101%
The Health Plan Of Wv $4 - $8 101%
United Mine Workers Of America $4 - $9 101%
UnitedHealthcare $4 - $9 101%
Upmc Commercial $4 - $9 101%
Wellpoint Wv $4 - $8 101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 251 North Fourth Street, Oakland, MD 21550
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals