CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Excela Health - Frick Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Excela Health - Frick Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$19

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: $19 (481%)
Insurance Median: $5 (127%)
Cash: $19 (481% 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
Aetna $4 - $9 101%
American Health Plan Of Pa $4 101%
Amerihealth Caritas $4 - $7 101%
Cigna $4 - $6 101%
Devoted $4 101%
Geisinger $4 - $7 101%
Health Partners Plan $4 101%
Highmark Advantage Community Blue $4 101%
Highmark Wholecare $4 - $7 101%
Humana $4 101%
Martin'S Point $4 101%
Pa Health And Wellness $4 - $7 101%
Peak Health $4 - $9 101%
Provider Network Of America $4 - $25 101%
Provider Plan Partners Plan $4 101%
The Health Plan Of West Virginia $4 - $9 101%
United $4 101%
Upmc $4 - $7 101%
Va $4 101%
Ambetter / Centene $5 127%
Highmark $5 - $9 127%
Highmark Children'S Health Insurance Program $5 127%
UnitedHealthcare $5 127%
Upmc For Kids Chip $5 127%
Upmc Health Plan $5 - $24 127%
Velocity $6 152%
Health Partners Plans $7 177%
Community Blue $8 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals