CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: Mercy Hospital Lincoln
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $49
- Cash Discount Price: $51
- vs. Medicare Baseline: 12.41x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mercy Hospital Lincoln is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 12.41x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$51
Average discount available for prompt cash payment at this facility.
Insurance Median
$49
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: $51 (1291%)
Insurance Median: $49 (1241%)
Cash: $51 (1291% of Medicare)
Ins. Median: $49 (1241% 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 1241% of the Medicare baseline (a markup of 1141%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| United Medical Resources Contracted [320454] | $4 | 101% |
| UnitedHealthcare | $4 - $19 | 101% |
| Blue Cross Blue Shield | $5 - $38 | 127% |
| Cigna | $5 - $20 | 127% |
| Medicaid / KanCare | $5 - $37 | 127% |
| Healthlink Contracted [320179] | $6 - $69 | 152% |
| Aetna | $11 - $53 | 278% |
| Medicare (plans) | $16 - $81 | 405% |
| Tricare | $16 - $17 | 405% |
| American Health Advantage Of Mo Mcr [10473] | $18 - $19 | 456% |
| Cherokee Nation Health Serv Contracted [320066] | $18 - $19 | 456% |
| Cross Timbers Hospice [20098] | $18 - $19 | 456% |
| Dept Of Veteran Affairs Contracted [320106] | $18 - $19 | 456% |
| Elara Caring Aspire Hospice Contracted [320433] | $18 - $19 | 456% |
| Elara Caring Aspire Hospice [20433] | $18 - $19 | 456% |
| Globalhealth Contracted [320145] | $18 - $19 | 456% |
| Halo Hcr Inc Hospice Contracted [320432] | $18 - $19 | 456% |
| Halo Hcr Inc Hospice [20432] | $18 - $19 | 456% |
| Humana | $18 - $73 | 456% |
| Indian Health Service Contracted [320198] | $18 - $19 | 456% |
| Kindful Hospice Contracted [320434] | $18 - $19 | 456% |
| Kindful Hospice [20434] | $18 - $19 | 456% |
| Mercy Hospice Okc [20252] | $18 - $19 | 456% |
| Pace Of The Ozarks Contracted [320518] | $18 - $19 | 456% |
| Provider Partners Health Plans Contracted [320450] | $18 - $19 | 456% |
| Qual Choice Contracted [320325] | $18 - $19 | 456% |
| Centivo Contracted [320505] | $27 - $29 | 684% |
| Medica Contracted [320239] | $32 - $34 | 810% |
| Ambetter / Centene | $34 - $37 | 861% |
| Home State Health Plan Contracted [320187] | $34 - $37 | 861% |
| Novasys Contracted [320285] | $34 - $37 | 861% |
| Hope Trust Contracted [320488] | $37 - $40 | 937% |
| Health Choices Contracted [320448] | $45 - $49 | 1139% |
| Health Choices [20448] | $45 - $49 | 1139% |
| Medical Associates Health Contracted [320444] | $45 - $49 | 1139% |
| First Health Contracted [320128] | $49 - $61 | 1241% |
| Mercy Mgd Behavioral Health Contracted [320259] | $56 - $61 | 1418% |
| Multiplan Contracted [320270] | $56 - $61 | 1418% |
| Private Health Care Systems Contracted [320320] | $56 - $61 | 1418% |
| Workers Comp [20426] | $56 - $65 | 1418% |
| Aither Health Contracted [320449] | $64 - $69 | 1620% |
| Aither Health [20449] | $64 - $69 | 1620% |
| Auxiant Contracted [320462] | $64 - $69 | 1620% |
| Ebms Contracted [320493] | $64 - $69 | 1620% |
| Edison Health Solutions Contracted [320502] | $64 - $69 | 1620% |
| Federal Medical Center Contracted [320127] | $64 - $69 | 1620% |
| Imagine 360 Contracted [320494] | $64 - $69 | 1620% |
| Insurance System Inc Contracted [320465] | $64 - $69 | 1620% |
| Mercy Benefit Admin Contracted [320251] | $64 - $69 | 1620% |
| Mercy Benefit Admin [20251] | $64 - $69 | 1620% |
| Point C Contracted [320238] | $64 - $69 | 1620% |
| Preferred Health Plan Contracted [320522] | $64 - $69 | 1620% |
| Reflect Health Contracted [320492] | $64 - $69 | 1620% |
| Show-Me Health Administrators Contracted [320483] | $64 - $69 | 1620% |
| Tri State Healthcare Coalition Contracted [320379] | $64 - $69 | 1620% |
| Yuzu Health Contracted [320521] | $64 - $69 | 1620% |