CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $30
Cash Discount Price: $74
vs. Medicare Baseline: 7.59x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at The University of Vermont Health Network-Alice Hy is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 7.59x the Medicare baseline. Located in 133 Park Street, Po Box 729, Malone, NY.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$30

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: $74 (1873%)

Insurance Median: $30 (759%)

Cash: $74 (1873% of Medicare)

Ins. Median: $30 (759% 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 759% of the Medicare baseline (a markup of 659%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Capital District Physicians' Health Plan	$3 - $89	76%
Blue Cross Blue Shield	$4 - $30	101%
Aetna	$17 - $82	430%
Choicecare	$17 - $71	430%
Fidelis Care	$17 - $30	430%
Humana	$17 - $30	430%
Martins Point	$17 - $30	430%
Mvp	$17 - $79	430%
St. Regis	$17 - $30	430%
UnitedHealthcare	$17 - $94	430%
Veterans Affairs Community Care Network	$17 - $30	430%
Magnacare	$42 - $76	1063%
Highmark Blueshield	$47 - $85	1190%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $74.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84520.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The University of Vermont Health Network-Alice Hy is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84520.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.