CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $31
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 7.85x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at University Hospitals Conneaut Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 7.85x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $42 (1063%)
Insurance Median: $31 (785%)
Cash: $42 (1063% of Medicare)
Ins. Median: $31 (785% 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 785% of the Medicare baseline (a markup of 685%). 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 - $53 51%
University Health Employee Plan (Contigo) $6 152%
Aetna $9 - $31 228%
Cigna $17 - $41 430%
Devoted $17 430%
Humana $17 430%
Medical Mutual Of Ohio $17 - $53 430%
Molina $17 430%
Primetime Health Plan $17 430%
Summacare $17 - $29 430%
The Health Plan $17 - $37 430%
UnitedHealthcare $17 - $58 430%
Wellcare By Allwell $17 430%
Paramount $18 456%
Perennial Advantage Of Ohio $18 456%
Valor Health Plans $18 456%
Amish Aid Community Plan $26 658%
Amish Church Fund And Workers Aid Plan $26 658%
Buckeye Plain Ministries $26 658%
Jp Farley $26 658%
Clarity $27 684%
Christian Healthcare Ministries $28 709%
Immergrun $28 709%
Sunrise Plan Communities $28 709%
Ambetter / Centene $31 785%
Aultcare $31 785%
Caresource $31 785%
Healthsmart $36 911%
Ohio Health Choice $36 - $50 911%
Medical Mutual Traditional/Health Ohio $39 987%
Beech Street $45 - $50 1139%
Ohio Preferred Network $45 - $50 1139%
First Health $46 1165%
Century Health Network $48 1215%
Private Healthcare System $48 1215%
Configurenet $50 1266%
Fortified Provider Network $50 1266%
Multiplan $50 1266%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals