CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Ohio Valley Surgical Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $11,885
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 3008.86x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Ohio Valley Surgical Hospital is $11,885. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3008.86x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,885

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: $37 (937%)
Insurance Median: $11,885 (300886%)
Cash: $37 (937% of Medicare)
Ins. Median: $11,885 (300886% 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 300886% of the Medicare baseline (a markup of 300786%). 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 - $40,293 51%
UnitedHealthcare $5 - $17,571 127%
Aetna $6 - $20,896 152%
Geha $6 - $20,896 152%
Genworth $6 - $20,896 152%
Mail Handlers $6 - $20,896 152%
Meritain $6 - $20,896 152%
Meritain Heatlh $6 - $20,896 152%
Mhbp $6 - $20,896 152%
Ngs Coresource $6 - $20,896 152%
Nippon Life $6 - $20,896 152%
Pacific Source $6 - $20,896 152%
Personify Health $6 - $20,896 152%
Mmoh $28 - $11,885 709%
Mmo Cin. Hmo $29 - $39 734%
Mmoh (Supermed) $29 734%
Medicare (plans) $37 - $12,264 937%
Luminare Health $56 1418%
Medben $56 1418%
Ohio Health $56 1418%
Preferred Health $56 1418%
Medicaid / KanCare $3,557 - $17,827 90051%
Amerihealth Caritas Of Ohio $3,657 92582%
Buckeye Community Health Plan $4,022 101823%
Molina Mcd $4,084 103392%
Caresource $4,364 - $17,827 110481%
Humana $4,493 - $11,919 113747%
Aarp $11,885 300886%
Aarp Supplemental $11,885 300886%
American Continental Insurance $11,885 300886%
American Continental Life $11,885 300886%
American Republic $11,885 300886%
American Retirement $11,885 300886%
Aultcare Primetime Health Plan $11,885 300886%
Bankers Fidelity $11,885 300886%
Bankers Life And Casualty $11,885 300886%
Central States $11,885 300886%
Champus $11,885 300886%
Cigna $11,885 - $18,817 300886%
Communicare Advantage $11,885 300886%
Everest $11,885 300886%
Gateway Health Plan $11,885 300886%
Medigold $11,885 300886%
Molina $11,885 300886%
Molina Dual Mcr $11,885 300886%
Molina Marketplace $11,885 300886%
Molina Dual Mcr $11,885 300886%
Molina Mcr $11,885 300886%
Molina Mcr Mcd $11,885 300886%
Molina Mcr+Mcd $11,885 300886%
Patient No Pay $11,885 300886%
Prosperity Supplement $11,885 300886%
Self Pay Imaging $11,885 300886%
Wellcare By Allwell $11,885 300886%
Wraparound Pl Supp $11,885 300886%
The Health Plan $12,479 315924%
Devoted Health $13,707 347013%
Employer Direct $15,703 397544%
Golden Rule $17,571 444835%
Medica $17,571 444835%
Oxford $17,571 444835%
Shl $17,571 444835%
Surest $17,571 444835%
Ushealth $17,571 444835%
Caresourse $17,827 451316%
Healthgram $18,817 476380%
Nalc $18,817 476380%
Samba $18,817 476380%
Sbma $18,817 476380%
Unified Group $18,817 476380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals