CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: University of Michigan Health - West

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $42
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 10.63x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at University of Michigan Health - West is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 10.63x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $24 (608%)
Insurance Median: $42 (1063%)
Cash: $24 (608% of Medicare)
Ins. Median: $42 (1063% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1063% of the Medicare baseline (a markup of 963%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Priority Health $11 278%
Web Tpa $26 658%
Aetna $39 987%
Alliance Health & Life Ppo $39 987%
Asr Physicians $39 987%
Hap $39 987%
Golden Rule Ins $42 1063%
Medica $42 1063%
Student Ins/Mega Life $42 1063%
UnitedHealthcare $42 1063%
Humana $44 1114%
Asr Cofinity $49 1241%
Cofinity Commercial $49 1241%
Cofinity Weyco $49 1241%
Core Source $49 1241%
Epoch Group $49 1241%
Health Partners $49 1241%
Hlthcomp Admin $49 1241%
Mid America $49 1241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 Byron Center Avenue, Sw, Wyoming, MI 49519
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals