CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Holland Community Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Holland Community Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$8

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: $8 (203%)
Insurance Median: $6 (152%)
Cash: $8 (203% 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
Aetna $4 - $5 101%
Health Alliance Mcr Adv $4 101%
Life Circles-All Plans $4 101%
Longevity Health Plan-All Plans $4 101%
Molina Mcaid - All Plans $4 101%
Ph Mcaid $4 101%
Ph Mcr Adv $4 101%
Va Ccn - All Plans $4 101%
Cofinity -All Plans $5 127%
Asr - All Plans $6 152%
Health Alliance Ahl - All Other Plans $6 152%
Health Alliance Hmo $6 152%
Sisco Epi $8 203%
Sisco-All Other Plans $8 203%
Cigna $11 278%
Multiplan - All Plans $11 278%
Benefit Source Inc-All Plans $12 304%
First Health-All Plans $12 304%
Integrated Health Plans-All Plans $12 304%
Priority Health - All Other Plans $12 304%
Usa Managed Care-All Plans $12 304%
UnitedHealthcare $13 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals