CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $19
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 4.81x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Oklahoma Heart Hospital, LLC is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 4.81x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $13 (329%)
Insurance Median: $19 (481%)
Cash: $13 (329% of Medicare)
Ins. Median: $19 (481% 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 481% of the Medicare baseline (a markup of 381%). 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
Aetna $4 - $26 101%
Blue Cross Blue Shield $4 - $23 101%
Cigna $4 - $26 101%
Geha $4 101%
Humana $4 - $26 101%
Medicare (plans) $4 101%
UnitedHealthcare $4 101%
Va Ccn $4 101%
Veterans Eval Services $4 101%
Ambetter / Centene $6 152%
Community Care $8 - $26 203%
Healthcare Highways $9 - $22 228%
The Kempton Group $10 253%
Healthscope $17 430%
Oscar Insurance Company $17 430%
Webtpa Chickasaw Nation Hch $17 430%
Webtpa Hobby Lobby Hch $20 506%
Coventry $22 557%
Global Health $23 582%
Sana Benefits $24 608%
Ufcw $24 608%
First Health Network $26 658%
Manhattan Life $26 658%
Phcs $26 658%
Preferred Community Choice $28 709%
Multiplan $33 835%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4050 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals