CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Mercy Hospital Southeast

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $7
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mercy Hospital Southeast is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.77x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $90 (2278%)
Insurance Median: $7 (177%)
Cash: $90 (2278% of Medicare)
Ins. Median: $7 (177% 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.

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
Aetna $4 - $89 101%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $4 101%
Blue Cross Blue Shield $4 - $132 101%
Cross Timbers Hospice [20098] $4 101%
Dept Of Veteran Affairs Contracted [320106] $4 101%
Elara Caring Aspire Hospice Contracted [320433] $4 101%
Elara Caring Aspire Hospice [20433] $4 101%
Halo Hcr Inc Hospice Contracted [320432] $4 101%
Halo Hcr Inc Hospice [20432] $4 101%
Humana $4 - $118 101%
Kindful Hospice Contracted [320434] $4 101%
Kindful Hospice [20434] $4 101%
Medicaid / KanCare $4 - $21 101%
Medicare (plans) $4 101%
Mercy Hospice Okc [20252] $4 101%
Pace Of The Ozarks Contracted [320518] $4 101%
Provider Partners Health Plans Contracted [320450] $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $9 101%
Ambetter / Centene $5 127%
Consociate Consolidated Health Contracted [320490] $5 - $9 127%
Home State Health Plan Contracted [320187] $5 127%
United Medical Resources Contracted [320454] $5 127%
Auxiant Contracted [320462] $7 - $8 177%
Centivo Contracted [320505] $7 177%
Ebms Contracted [320493] $7 177%
Healthlink Contracted [320179] $7 - $108 177%
Imagine 360 Contracted [320494] $7 177%
Mercy Benefit Admin Contracted [320251] $7 - $95 177%
Preferred Health Plan Contracted [320522] $7 177%
Reflect Health Contracted [320492] $7 177%
Yuzu Health Contracted [320521] $7 - $95 177%
Hope Trust Contracted [320488] $10 253%
Cigna $11 278%
First Health Contracted [320128] $89 2253%
Health Alliance Contracted [320164] $90 2278%
Aither Health Contracted [320449] $95 2405%
Edison Health Solutions Contracted [320502] $95 2405%
Mercy Benefit Admin [20251] $95 2405%
Workers Comp [20426] $104 - $111 2633%
Multiplan Contracted [320270] $111 2810%
Private Health Care Systems Contracted [320320] $111 2810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals