CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $20
Cash Discount Price: $13
vs. Medicare Baseline: 5.06x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Oklahoma Heart Hospital South, LLC is $20. 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 5.06x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $20 (506%)

Cash: $13 (329% of Medicare)

Ins. Median: $20 (506% 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 506% of the Medicare baseline (a markup of 406%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $20	101%
Cigna	$4 - $26	101%
Geha	$4	101%
Humana	$4 - $26	101%
Medicare (plans)	$4	101%
UnitedHealthcare	$4	101%
Va Ccn	$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

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $13.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84520.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oklahoma Heart Hospital South, LLC is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84520.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.