CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Chester County Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $13
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Chester County Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.29x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $89 (2253%)
Insurance Median: $13 (329%)
Cash: $89 (2253% of Medicare)
Ins. Median: $13 (329% 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 329% of the Medicare baseline (a markup of 229%). 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
Cigna $2 - $89 51%
Aetna $4 - $53 101%
Clover Health Plan $4 101%
Devoted Health $4 101%
Health Partners $4 - $89 101%
Hospice Vna $4 101%
Humana $4 101%
Keystone First Vip Choice $4 101%
Medicare (plans) $4 101%
Mva Insurance $4 101%
Pa Health And Wellness $4 - $7 101%
Primecare Medical $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $25 101%
Us Family Health Plan $4 101%
Va Medical Center $4 101%
Gateway $5 127%
Medicaid / KanCare $5 - $89 127%
Claims Watcher $6 - $7 152%
Elap $6 152%
Ibc $6 - $13 152%
Keystone Hmo Proactive $6 152%
Centivo $7 177%
Elap Services $7 177%
Healthamerica/Coventry $7 177%
Keystone First $7 177%
Oscar Health Plan $7 177%
Highmark $8 203%
Penn Global Medicine $10 253%
Geisinger Health Plan $13 329%
Pgm - Regie De L'Assurance Maladie Quebec $20 506%
Todays Option $25 633%
Preferred Health Care Eliance $28 709%
Pgm - Kuwait Defense $31 - $40 785%
Qualcare $34 861%
Pgm - Chop $36 911%
Pgm - Royal Embassy Of Saudi Arabia $53 1342%
Pgm - Embassy Of Qatar $58 1468%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $58 1468%
Pgm - Embassy Of The United Emirates/Ipc $62 1570%
Pgm - Kuwait Health Division $71 1797%
Pgm - Kuwait Oil $71 1797%
Preferred Health Care $71 1797%
Intergroup $76 1924%
Olympus $78 1975%
International Pfs $89 2253%
Medrisk $89 2253%
Not Adjusted $89 2253%
Workers Compensation $89 2253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals