CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $37
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 9.37x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at University Hospitals Avon Rehabilitation Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 9.37x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $71 (1797%)
Insurance Median: $37 (937%)
Cash: $71 (1797% of Medicare)
Ins. Median: $37 (937% 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 937% of the Medicare baseline (a markup of 837%). 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
Uh Employees (Administered By Meritian) $12 - $43 304%
Blue Cross Blue Shield $18 - $111 456%
Healthsmart (Formerly Emerald) $21 - $72 532%
Ohio Health Choice - Preferred Choice Plus $21 - $72 532%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $23 - $82 582%
Occunet Fka Health Ohio Network $23 - $82 582%
Paramount $24 - $111 608%
Ohio Preferred Network $25 - $89 633%
First Health $27 - $95 684%
Beechstreet $29 - $100 734%
Fortified $29 - $100 734%
Multiplan $29 - $100 734%
Ohio Health Choice $29 - $100 734%
Phcs $29 - $100 734%
Aetna $32 - $111 810%
Ambetter / Centene $32 - $111 810%
Amerihealth Cartias $32 - $111 810%
Antidote Healthe Care Of Ohio $32 - $111 810%
Aultcare $32 - $111 810%
Buckeye $32 - $111 810%
Caresource $32 - $111 810%
Caresource (Marketplace) $32 - $111 810%
Cigna $32 - $111 810%
Devoted $32 - $111 810%
Health Plan $32 - $111 810%
Humana $32 - $111 810%
Jp Farley (Select Employers) $32 - $111 810%
Medical Mutual $32 - $111 810%
Medical Mutual (Supermed, Trad, Medflex) $32 - $111 810%
Medical Mutual (Marketplace Plan) $32 - $111 810%
Molina $32 - $111 810%
Summacare $32 - $111 810%
United $32 - $111 810%
UnitedHealthcare $32 - $111 810%
Wellcare $32 - $111 810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL