CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Charlevoix Area Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $34
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 8.61x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Charlevoix Area Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 8.61x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $44 (1114%)
Insurance Median: $34 (861%)
Cash: $44 (1114% of Medicare)
Ins. Median: $34 (861% 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 861% of the Medicare baseline (a markup of 761%). 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 - $53 25%
Mclaren Health Plan $3 - $53 76%
Meridian $3 76%
Priority Health $3 - $57 76%
UnitedHealthcare $3 - $50 76%
Cigna $4 - $57 101%
Hap (Health Alliance Plan) $6 - $46 152%
Provider Network Of America/Hma Group Health $6 - $49 152%
Aetna $17 - $52 430%
Blue Care Network $17 - $27 430%
Medicare (plans) $17 - $27 430%
Michigan Amish Medical Board $17 - $27 430%
Northern Michigan Mennonite Group $17 - $27 430%
Molina $18 - $29 456%
Hospice Of Michigan $22 - $34 557%
Asr Physicians Care Network $29 - $46 734%
Employee Benefits Logistics $29 - $46 734%
Enterprise Group Planning Employee Benefit Plan $29 - $46 734%
First Health/Coventry Health/Community Care Network $29 - $46 734%
Medical Cost Savings Solution $29 - $46 734%
Three Rivers Provider Network $31 - $49 785%
Cofinity $33 - $53 835%
Iba Health And Life Assurance Company $33 - $53 835%
Nomi Health $33 - $53 835%
Preferred Medical Claim Solutions $34 - $55 861%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals