CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Neshoba County General Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $13
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Neshoba County General Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.29x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $15 (380%)
Insurance Median: $13 (329%)
Cash: $15 (380% of Medicare)
Ins. Median: $13 (329% 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 329% of the Medicare baseline (a markup of 229%). 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
Humana $4 101%
Magnolia Mcaid $4 101%
Magnolia Mcr Adv-All Other Plans $4 101%
Molina Comm-All Other Plans $4 101%
Molina Mcaid $4 101%
Molina Mcr Adv $4 101%
Mpcn Mcaid $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $14 101%
Wellcare Mcr Adv-All Plans $4 101%
First Choice Comm Ip/Op Only - All Plans $5 127%
Aetna $8 - $14 203%
Cigna $10 - $18 253%
Ahs Ip/Op Only-All Plans $12 - $20 304%
Blue Cross Blue Shield $13 - $22 329%
Affordable Health Care-All Plans $14 - $23 354%
Geha-All Plans $14 - $24 354%
Health Choice Ip/Op Only-All Plans $14 - $23 354%
Health Link Ip/Op Only-All Plans $14 - $23 354%
Multiplan-All Plans $14 - $24 354%
Mpcn Ip/Op Only-All Other Plans $20 - $34 506%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL