CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Northeast Regional Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $75
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 18.99x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Northeast Regional Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 18.99x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $83 (2101%)
Insurance Median: $75 (1899%)
Cash: $83 (2101% of Medicare)
Ins. Median: $75 (1899% 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 1899% of the Medicare baseline (a markup of 1799%). 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
Node Champva $3 76%
Tricare $3 76%
Blue Access $4 101%
Blue Cross Blue Shield $4 - $64 101%
Blue Pathway/Pathway X $4 101%
Blue Prefrerred $4 101%
Medicaid / KanCare $4 - $6 101%
Medicare (plans) $4 101%
Node Devoted Health Mcr Adv $4 101%
Node Hospice Non Par Agree $4 101%
Node Va $4 101%
UnitedHealthcare $4 - $158 101%
Veterans Eval Services $4 101%
Centurion Correctional $5 127%
Us Department Of Labor $5 127%
Home State Exchange $7 177%
Immergrun $8 203%
Naphcare $8 203%
Self Pay $51 - $116 1291%
Cigna $72 - $83 1823%
Aetna $79 - $176 2000%
Access Health Services, Llc $137 3468%
Healthlink $158 - $169 4000%
Multiplan $158 - $169 4000%
Coventry Wc $169 4278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals