CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Bertrand Chaffee Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Bertrand Chaffee Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$5

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: $5 (127%)
Insurance Median: $4 (101%)
Cash: $5 (127% 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
Blue Cross Blue Shield $3 76%
Iha Essential Plans $3 76%
Iha Medisource $3 76%
Senior Blue - Bc $3 76%
Univera Essential Plans $3 76%
Univera Hc Child Health+ $3 76%
Univera Hc Myhealth+ $3 - $4 76%
Univera Plus Med $3 76%
Advantra-Mcr Advantage $4 101%
Aetna $4 - $6 101%
Centers Plan Hlty Living $4 101%
Champva $4 101%
Cigna $4 - $6 101%
Comm Blue Essential $4 101%
Community Blue $4 101%
Community Care - Bc $4 101%
Ctrs Plan For Hlthy Livng $4 101%
Fidelis Care Of New York $4 101%
Fidelis Essential Plans $4 101%
Geisinger Health Plan $4 101%
Ghi Medical $4 101%
Gowanda Correctional Fac $4 101%
Humana $4 101%
Iha $4 101%
Iha Custom Coverage $4 101%
Iha Encompass 65 $4 101%
Lifetime Benefits $4 101%
Medicaid / KanCare $4 101%
Medicare (plans) $4 101%
Molina Essential Plan $4 101%
Molina Heathcare Of Wny $4 101%
Mutual Of Omaha $4 101%
Nova Healthcare $4 101%
Optimum Healthcare - Mcr $4 101%
Seneca Nation Health Dept $4 101%
Todays Option - Amer Prog $4 101%
Tricare $4 101%
United Hc - Community Pln $4 101%
United Hc Essential Plan $4 101%
United Hc Mcr Solutions $4 101%
UnitedHealthcare $4 101%
Univera Hc Myhealth $4 101%
Univera Senior Choice $4 101%
Wellcare $4 101%
Yourcare $4 101%
Private Pay $5 127%
Univera Healthcare $5 127%
American Progressive Ins. $6 152%
Commercial / Misc $6 152%
Global Excel Mgt $6 152%
Guardian Life Ins. Co. $6 152%
Mvp Commercial $6 152%
No Amer Meritian Health $6 152%
No-Fault $6 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals