CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $12
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.04x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Intermountain Health St Vincent Regional Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.04x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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%)
Insurance Median: $12 (304%)
Ins. Median: $12 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
Medicare (plans) $4 101%
UnitedHealthcare $4 - $14 101%
Ebms-Employee Benefit Mng $7 - $14 177%
Coastal Administrative Services $8 203%
First Choice Health $8 - $14 203%
Other $8 - $14 203%
Sibanye Stillwater Health Partners $8 203%
Aetna $9 - $10 228%
Exchange Other $9 - $10 228%
Meritain Health $9 - $14 228%
Mt Health Co-Op $9 - $10 228%
Allegiance $10 - $14 253%
Cigna $10 - $14 253%
Pacific Steel And Recycling $10 253%
Pacificsource $10 - $14 253%
Blue Cross Blue Shield $11 - $32 278%
Preferred One $12 - $14 304%
Geha $13 - $14 329%
Interwest $13 - $14 329%
Private Hlthcare Sys $13 - $14 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals