CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: Mount Carmel New Albany Surgical Hospital
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $13
- Cash Discount Price: $18
- vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Mount Carmel New Albany Surgical Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.29x the Medicare baseline. Located in 7333 Smith's Mill Road, New Albany, OH.
Cash / Self-Pay
$18
Average discount available for prompt cash payment at this facility.
Insurance Median
$13
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: $18 (456%)
Insurance Median: $13 (329%)
Cash: $18 (456% of Medicare)
Ins. Median: $13 (329% 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 329% of the Medicare baseline (a markup of 229%). 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.
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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) | $3 - $4 | 76% |
| Aetna | $4 - $27 | 101% |
| Blue Benefit Administrators Of Massachusetts | $4 | 101% |
| Blue Care Network | $4 | 101% |
| Blue Cross Blue Shield | $4 - $27 | 101% |
| Blue Distinction Transplant | $4 | 101% |
| Blue Shield - Ca | $4 | 101% |
| Blue Shield - Id (Regence) | $4 | 101% |
| Blue Shield - Ny Highmark Northeastern | $4 | 101% |
| Blue Shield - Ny Highmark Western | $4 | 101% |
| Blue Shield - Pa (Highmark) | $4 | 101% |
| Blue Shield - Wa (Regence) | $4 | 101% |
| Hospice Mount Carmel | $4 | 101% |
| Oscar | $4 | 101% |
| Rural Carrier Health Benefit Plan | $4 | 101% |
| The Health Plan | $4 - $18 | 101% |
| UnitedHealthcare | $4 - $69 | 101% |
| Medical Mutual | $7 - $21 | 177% |
| Custom Design Benefits | $8 | 203% |
| Enterprise Group Planning | $8 | 203% |
| Quality Care Partners | $9 | 228% |
| Western & Southern Financial Group | $10 | 253% |
| Geha | $12 - $69 | 304% |
| Gravie Admin Services | $12 | 304% |
| Healthez | $12 | 304% |
| Meritain | $12 | 304% |
| Webtpa | $12 | 304% |
| Access Health | $13 | 329% |
| Acclaim | $13 | 329% |
| Administrative Concepts | $13 | 329% |
| Allegeant | $13 | 329% |
| Allied Benefit Systems | $13 | 329% |
| American Family | $13 | 329% |
| American Healthcare Alliance | $13 | 329% |
| American National | $13 | 329% |
| American Republic | $13 | 329% |
| Amerihealth | $13 | 329% |
| Aultcare | $13 | 329% |
| Automated Benefit Services | $13 | 329% |
| Auxiant | $13 | 329% |
| Benefit Administrative Systems,Llc | $13 | 329% |
| Boon Chapman | $13 | 329% |
| Cam Administrative Services | $13 | 329% |
| Christian Brother Services | $13 | 329% |
| Christian Brothers Holy Cross | $13 | 329% |
| Claimchoice Adminstrators | $13 | 329% |
| Comprehensive Benefits | $13 | 329% |
| Continental Life Insurance | $13 | 329% |
| Coventry | $13 | 329% |
| Custom Benefit Administrators | $13 | 329% |
| Cypress Benefit Administrators | $13 | 329% |
| Employee Benefit Concepts | $13 | 329% |
| Employee Benefit Management | $13 | 329% |
| Forest County Potawatomi | $13 | 329% |
| Freedom Life Insurance Company | $13 | 329% |
| Group Administrators | $13 | 329% |
| Group Marketing Services | $13 | 329% |
| Group Pension Administrators | $13 | 329% |
| Guardian | $13 | 329% |
| Health America | $13 | 329% |
| Health Choices | $13 | 329% |
| Healthcare Management Admin | $13 | 329% |
| Insight | $13 | 329% |
| Intercare | $13 | 329% |
| Jfp Benefit Management | $13 | 329% |
| Jp Farley Corporation | $13 | 329% |
| Key Benefit Administrator | $13 | 329% |
| Liberty Union Life Assurance Co | $13 | 329% |
| Lucent Health | $13 | 329% |
| Luminare Health | $13 | 329% |
| Magnacare | $13 | 329% |
| Medcost | $13 | 329% |
| Mutual Health Services | $13 | 329% |
| Mutual Of Omaha | $13 | 329% |
| Ncas | $13 | 329% |
| Nippon Life Ins | $13 | 329% |
| Nova | $13 | 329% |
| Painters Union Insurance Fund | $13 | 329% |
| Physicians Mutual | $13 | 329% |
| Plumbers Local 98 Insurance Fund | $13 | 329% |
| Prairie States | $13 | 329% |
| Preferred One | $13 | 329% |
| Primary Physician Care | $13 | 329% |
| Professional Benefit Administrators | $13 | 329% |
| Secureone Preferred United Plans | $13 | 329% |
| Siho Insurance Services | $13 | 329% |
| Sisco Benefits | $13 | 329% |
| The Loomis Company | $13 | 329% |
| Trustmark Small Business Benefits | $13 | 329% |
| U Of M Health Plan | $13 | 329% |
| Unicare | $13 | 329% |
| Unified Group Services | $13 | 329% |
| Us Health And Life | $13 | 329% |
| Valenz | $13 | 329% |
| Varipro | $13 | 329% |
| Wps | $13 | 329% |
| First Health | $14 | 354% |
| Humana | $14 - $27 | 354% |
| American Postal Workers Secondary | $16 | 405% |
| Cigna | $16 | 405% |
| Consociate | $16 | 405% |
| Health Ohio Network | $16 | 405% |
| Health Partners | $16 | 405% |
| Healthgram | $16 | 405% |
| Medben | $16 - $20 | 405% |
| Mvp | $16 | 405% |
| Priority Health | $16 | 405% |
| Caresource | $20 | 506% |
| Healthlink Inc | $20 | 506% |
| Medical Benefits Mutual | $20 | 506% |
| Ohio Health Choice | $20 | 506% |
| Ohio Ppo Connect | $20 | 506% |
| Ameriben | $22 | 557% |
| Luminare Health (Detroit) | $22 | 557% |
| Medi Share | $22 | 557% |
| Multiplan | $22 | 557% |
| Ohiohealthy | $22 | 557% |
| Osu Not Independent Choice | $22 | 557% |
| Phcs | $22 | 557% |
| Philadelphia American Life Insurance | $22 | 557% |
| Twin Valley Psychiatric | $22 | 557% |
| Health Smart | $23 | 582% |
| Bccp | $27 | 684% |
| Medicaid / KanCare | $27 | 684% |
| Optima Health | $27 | 684% |
| Crime Victim Assistance | $632 | 16000% |
| Ohio Safe Program | $632 | 16000% |