CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Punxsutawney Area Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Punxsutawney Area Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 81 Hillcrest Drive, Punxsutawney, PA.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $12 (304%)
Insurance Median: $5 (127%)
Cash: $12 (304% of Medicare)
Ins. Median: $5 (127% 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.

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 - $24 51%
Highmark Wholecare $2 - $6 51%
UnitedHealthcare $2 - $16 51%
Highmark $3 - $11 76%
Tricare $3 76%
Aetna $4 - $9 101%
Ambetter / Centene $4 - $7 101%
Amerihealth Caritas $4 - $5 101%
Geisinger Health Plan $4 - $7 101%
Humana $4 101%
United Mine Workers Of America $4 101%
Upmc Health Plan $4 - $27 101%
Pa Health And Wellness Commercial $5 - $8 127%
Geisinger $6 - $11 152%
Pa Workers Compensation $25 - $40 633%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals