CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: St Francis Hospital - the Heart Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at St Francis Hospital - the Heart Center is $5. 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 1.27x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (127%)
Ins. Median: $5 (127% 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
Aetna $4 - $6 101%
Affinity Health Plan $4 - $9 101%
Agewell New York $4 101%
Blue Cross Blue Shield $4 - $15 101%
Centerlight Healthcare $4 101%
Centers Plan For Healthy Living $4 101%
Elderplan Inc. $4 101%
Emblem Health $4 - $9 101%
Fidelis Care New York $4 - $9 101%
Health First $4 - $9 101%
Health Plus $4 - $9 101%
Healthspring $4 101%
Humana $4 101%
Independent Health $4 101%
Liberty Health $4 101%
Longevity Health Plan $4 101%
Medicaid / KanCare $4 101%
Medicare (plans) $4 101%
Mvp Health Plans $4 - $10 101%
Orthonet - Uniformed Services Family Health Plan $4 101%
Partners Health Plan $4 101%
Pmc $4 101%
Senior Whole Health $4 101%
Surest $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $15 101%
Universal Healthcare $4 101%
Us Family Health Plan $4 101%
Veterans Affairs $4 101%
Wellcare Health Plan Inc $4 101%
Zadroga $5 127%
Centivo $6 - $10 152%
Mail Handlers Benefit Plan $6 152%
Meritain Health $6 152%
Nippon Life Insurance Company Of America $6 152%
Salvation Army $6 152%
American Plan Administrators $9 228%
Amerihealth Administrators $9 228%
Benefit Services $9 228%
Ghi Cbp Ny City Employee Alternate $9 228%
International Benefit Administrator $9 228%
Ultra Benefits Inc. $9 228%
Apwu $10 253%
Brighton $10 - $120 253%
Cigna $10 - $120 253%
Daniel H Cook $10 253%
Nalc $10 253%
Samba $10 253%
Self Pay $15 380%
Local 1199 $51 1291%
Oscar Health $70 1772%
Allied Wellfare Fund $120 3038%
American Group Administrators $120 3038%
Bakery & Confectionery Union $120 3038%
Comprehensive Benefits Consultant $120 3038%
Guardian Life Insurance Company Of America $120 3038%
Maloney And Assoc $120 3038%
Multiplan $120 3038%
Performax $120 3038%
Phcs $120 3038%
Pomco $120 3038%
Tpa Inc $120 3038%
Unicare $120 3038%
United Employees Health Plan $120 3038%
Coventry $127 - $142 3215%
Galaxy $154 3899%
Three Rivers Provider Network $154 3899%
Aither Health $171 4329%
Alpha Care $171 4329%
Dentaquest $171 4329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals