CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Fisher-Titus Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $20
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 5.06x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Fisher-Titus Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 5.06x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $25 (633%)
Insurance Median: $20 (506%)
Cash: $25 (633% of Medicare)
Ins. Median: $20 (506% 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 506% of the Medicare baseline (a markup of 406%). 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
Blue Cross Blue Shield $2 - $25 51%
Aetna $4 - $24 101%
Buckeye $4 - $7 101%
Caresource $4 - $7 101%
Medical Mutual Of Ohio $4 - $16 101%
Paramount $4 - $25 101%
Perennial Advantage $4 101%
Sidecar $4 - $19 101%
Summacare $4 - $25 101%
UnitedHealthcare $4 - $25 101%
Valor Health $4 101%
Wellcare $4 101%
Zing Health $4 101%
Amerihealth $7 177%
Molina $7 177%
Health Ohio Network $20 506%
Tricare $21 - $22 532%
Cigna $22 557%
Claimsdoc $22 557%
First Health $25 633%
Healthscope $25 633%
Multiplan $25 633%
Ohio Health Choice $25 633%
Emerald Health $27 684%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Benedict Avenue, Norwalk, OH 44857
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals