CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Mercy St Francis Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $66
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 16.71x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mercy St Francis Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 16.71x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $47 (1190%)
Insurance Median: $66 (1671%)
Cash: $47 (1190% of Medicare)
Ins. Median: $66 (1671% 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 1671% of the Medicare baseline (a markup of 1571%). 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 $4 - $71 101%
Medicaid / KanCare $4 - $38 101%
Medicare (plans) $4 - $26 101%
UnitedHealthcare $5 - $69 127%
Aetna $25 - $65 633%
Cherokee Nation Health Serv Contracted [320066] $25 633%
Cigna $25 - $69 633%
Cross Timbers Hospice [20098] $25 633%
Dept Of Veteran Affairs Contracted [320106] $25 633%
Elara Caring Aspire Hospice [20433] $25 633%
Globalhealth Contracted [320145] $25 633%
Halo Hcr Inc Hospice Contracted [320432] $25 633%
Halo Hcr Inc Hospice [20432] $25 633%
Humana $25 - $66 633%
Indian Health Service Contracted [320198] $25 633%
Kindful Hospice Contracted [320434] $25 633%
Kindful Hospice [20434] $25 633%
Medical Associates Health Contracted [320444] $25 633%
Mercy Hospice Okc [20252] $25 633%
Mercy Mgd Behavioral Health Contracted [320259] $25 633%
Pace Of The Ozarks Contracted [320518] $25 633%
Provider Partners Health Plans Contracted [320450] $25 633%
Qual Choice Contracted [320325] $25 633%
Tricare $25 633%
Administrative Payor Contracted [320005] $33 835%
Healthscope Contracted [320182] $33 835%
Ambetter / Centene $38 962%
Home State Health Plan Contracted [320187] $38 962%
Novasys Contracted [320285] $38 962%
Centivo Contracted [320505] $42 1063%
Healthlink Contracted [320179] $47 - $69 1190%
Preferred Health Plan Contracted [320522] $47 1190%
Workers Comp [20426] $58 - $62 1468%
Auxiant Contracted [320462] $66 - $69 1671%
Mercy Benefit Admin Contracted [320251] $66 - $69 1671%
Point C Contracted [320238] $66 - $69 1671%
United Medical Resources Contracted [320454] $66 - $68 1671%
90 Degree Benefits Contracted [320436] $69 1747%
Aither Health Contracted [320449] $69 1747%
Benefit Management Contracted [320052] $69 1747%
Ebms Contracted [320493] $69 1747%
Edison Health Solutions Contracted [320502] $69 1747%
Evolutions Health Care Contracted [320124] $69 1747%
First Health Contracted [320128] $69 1747%
Health Systems Inc Contracted [320174] $69 1747%
Imagine 360 Contracted [320494] $69 1747%
Insurance System Inc Contracted [320465] $69 1747%
Medica Contracted [320239] $69 1747%
Multiplan Contracted [320270] $69 1747%
Point C [20238] $69 1747%
Private Health Care Systems Contracted [320320] $69 1747%
Reflect Health Contracted [320492] $69 1747%
Show-Me Health Administrators Contracted [320483] $69 1747%
Usa Managed Care Org Contracted [320429] $69 1747%
Yuzu Health Contracted [320521] $69 1747%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Highway 60, Po Box 82, Mountain View, MO 65548
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals