CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Stillwater Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $75
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 18.99x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Stillwater Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 18.99x the Medicare baseline. Located in 1323 West 6Th Street, Stillwater, OK.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $94 (2380%)
Insurance Median: $75 (1899%)
Cash: $94 (2380% of Medicare)
Ins. Median: $75 (1899% 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 1899% of the Medicare baseline (a markup of 1799%). 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
Tricare $4 101%
Veterans Administration $4 101%
Healthchoice $5 127%
Healthcare Highways $7 177%
Ebms (Employee Benefit Management Services Inc.) $10 253%
Blue Cross Blue Shield $11 278%
Aetna $74 1873%
Cigna $75 1899%
Community Care $96 2430%
UnitedHealthcare $98 2481%
Coventry $110 2785%
First Health $125 3165%
Osma Health $129 3266%
Multiplan $132 3342%
Preferred Community Choice $132 3342%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1323 West 6Th Street, Stillwater, OK 74076
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals