CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Merit Health Wesley

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Merit Health Wesley is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $32 (810%)
Insurance Median: $4 (101%)
Cash: $32 (810% of Medicare)
Ins. Median: $4 (101% 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
Medicaid / KanCare $3 - $4 76%
Aetna $4 - $52 101%
Caresource Truecare $4 101%
First Choice $4 - $100 101%
Humana $4 101%
Magnolia $4 101%
Magnolia Mcd Ms Chip $4 101%
Medicare (plans) $4 101%
Molina $4 101%
Molina Chip $4 101%
Node Champva $4 101%
Node Devoted Health Mcr Adv $4 101%
Node First Choice American Health Mcr Adv $4 101%
Node First Choice Wellcare Mcr Adv $4 101%
Node Healthy Mississippi Mcr Adv $4 101%
Node Hospice Non Par Agree $4 101%
Node Va $4 101%
Node Vantage Mcr Adv $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $14 101%
Veterans Eval Services $4 101%
Node Us Dept Of Labor $5 127%
Advanced Health Systems $7 177%
Blue Cross Blue Shield $7 177%
First Choice Molina $7 177%
Magnolia Exchange $7 177%
Molina Exchange $7 177%
Ms Work Comp $7 177%
First Choice Lgp $9 228%
Vantage Health $9 228%
Chs Group Health Plan $25 633%
Self Pay $26 - $37 658%
Cigna $35 886%
Trimed Billing Solutions $37 937%
Benefit Management Services $81 2051%
Coventry First Health $94 2380%
Ms Dept Of Rehabilitation Services $125 3165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals