CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $29
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 7.34x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Munson Healthcare Manistee Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 7.34x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $31 (785%)
Insurance Median: $29 (734%)
Cash: $31 (785% of Medicare)
Ins. Median: $29 (734% 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 734% of the Medicare baseline (a markup of 634%). 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
Blue Cross Blue Shield $1 - $29 25%
Mclaren Health Plan $2 - $43 51%
Meridian $2 51%
Molina $2 - $4 51%
Priority Health $2 - $17 51%
UnitedHealthcare $2 - $52 51%
Aetna $4 - $50 101%
Cigna $4 - $17 101%
Cofinity $4 - $51 101%
Hap (Health Alliance Plan) $4 - $46 101%
Humana $4 101%
Medicare (plans) $4 101%
Michigan Amish Medical Board $4 101%
Northern Michigan Mennonite Group $4 101%
Prime Health Services $4 - $53 101%
Wellcare Meridian $4 101%
Employee Benefits Logistics $7 177%
Hospice Of Michigan $20 - $34 506%
Munson Hospice $23 - $852 582%
Asr/Physicians Care $26 - $46 658%
Enterprise Group Planning/Employee Benefits Plan $26 - $46 658%
Medical Cost Savings Solution $26 - $46 658%
Nomi Health $26 - $46 658%
Provider Network Of America $28 - $49 709%
Three Rivers Provider Network $28 - $49 709%
Multiplan $29 - $51 734%
Great West Healthcare $30 - $52 759%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals