CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: Mercy Hospital Springfield
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $8
- Cash Discount Price: $48
- vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mercy Hospital Springfield is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.03x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$48
Average discount available for prompt cash payment at this facility.
Insurance Median
$8
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: $48 (1215%)
Insurance Median: $8 (203%)
Cash: $48 (1215% of Medicare)
Ins. Median: $8 (203% 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 203% of the Medicare baseline (a markup of 103%). 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 | $3 - $57 | 76% |
| Aetna | $4 - $5 | 101% |
| Centurion Of Missouri [20459] | $4 | 101% |
| Champva [20065] | $4 | 101% |
| Cherokee Nation Health Serv Contracted [320066] | $4 | 101% |
| Cigna | $4 - $22 | 101% |
| Cross Timbers Hospice [20098] | $4 | 101% |
| Dept Of Veteran Affairs Contracted [320106] | $4 | 101% |
| Elara Caring Aspire Hospice [20433] | $4 | 101% |
| Globalhealth Contracted [320145] | $4 | 101% |
| Halo Hcr Inc Hospice Contracted [320432] | $4 | 101% |
| Halo Hcr Inc Hospice [20432] | $4 | 101% |
| Humana | $4 - $50 | 101% |
| Indian Health Service Contracted [320198] | $4 | 101% |
| Indian Health Service [20198] | $4 | 101% |
| Kindful Hospice Contracted [320434] | $4 | 101% |
| Kindful Hospice [20434] | $4 | 101% |
| Medica Contracted [320239] | $4 | 101% |
| Medica [20239] | $4 | 101% |
| Medicaid / KanCare | $4 - $8 | 101% |
| Medicare (plans) | $4 | 101% |
| Mercy Hospice Okc [20252] | $4 | 101% |
| Mercy Mgd Behavioral Health Contracted [320259] | $4 | 101% |
| Mercy Rehab Hospital Contracted [320260] | $4 | 101% |
| Pace Of The Ozarks Contracted [320518] | $4 | 101% |
| Provider Partners Health Plans Contracted [320450] | $4 | 101% |
| Qual Choice Contracted [320325] | $4 | 101% |
| Tricare | $4 | 101% |
| United Medical Resources Contracted [320454] | $4 - $38 | 101% |
| UnitedHealthcare | $4 - $57 | 101% |
| Healthscope Contracted [320182] | $5 | 127% |
| Centivo Contracted [320505] | $7 | 177% |
| Aither Health Contracted [320449] | $8 - $42 | 203% |
| Ambetter / Centene | $8 | 203% |
| Auxiant Contracted [320462] | $8 - $48 | 203% |
| Ebms Contracted [320493] | $8 | 203% |
| Healthlink Contracted [320179] | $8 - $24 | 203% |
| Home State Health Plan Contracted [320187] | $8 | 203% |
| Imagine 360 Contracted [320494] | $8 | 203% |
| Mercy Benefit Admin Contracted [320251] | $8 - $42 | 203% |
| Novasys Contracted [320285] | $8 | 203% |
| Providrs Care Network Contracted [320484] | $8 | 203% |
| Reflect Health Contracted [320492] | $8 | 203% |
| Yuzu Health Contracted [320521] | $8 | 203% |
| 90 Degree Benefits Contracted [320436] | $23 | 582% |
| Show-Me Health Administrators Contracted [320483] | $23 - $24 | 582% |
| Benefit Management Contracted [320052] | $30 | 759% |
| Health Systems Inc Contracted [320174] | $30 | 759% |
| Insurance System Inc Contracted [320465] | $30 | 759% |
| Administrative Payor Contracted [320005] | $33 - $37 | 835% |
| Evolutions Health Care Contracted [320124] | $33 | 835% |
| Point C Contracted [320238] | $33 - $56 | 835% |
| Point C [20238] | $33 | 835% |
| Medical Destinations Contracted [320242] | $37 | 937% |
| Workers Comp [20426] | $37 - $63 | 937% |
| First Health Contracted [320128] | $41 | 1038% |
| Edison Health Solutions Contracted [320502] | $42 | 1063% |
| Federal Medical Center Contracted [320127] | $44 | 1114% |
| Multiplan Contracted [320270] | $57 | 1443% |
| Private Health Care Systems Contracted [320320] | $57 | 1443% |
| Compcare Of The Ozarks Contracted [320437] | $58 | 1468% |
| American Healthcare Alliance Contracted [320020] | $59 | 1494% |
| Qual Choice Contracted [320324] | $59 | 1494% |
| Municipal Health Plan Contracted [320271] | $60 | 1519% |
| Usa Managed Care Org Contracted [320429] | $65 | 1646% |
| Ppo Plus Contracted [320310] | $67 | 1696% |