CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Jefferson Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Jefferson Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 565 Coal Valley Road, Jefferson Hills, PA.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $28 (709%)
Insurance Median: $4 (101%)
Cash: $28 (709% of Medicare)
Ins. Median: $4 (101% 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
Highmark $2 - $7 51%
Cigna $3 - $4 76%
Univera $3 - $5 76%
Aetna $4 - $10 101%
American Health Plans $4 101%
Amerihealth $4 - $5 101%
Highmark Wholecare $4 - $8 101%
Humana $4 101%
Life Pittsburgh $4 101%
Martin'S Point $4 - $12 101%
Medical Mutual $4 101%
Medicare (plans) $4 101%
Molina $4 101%
UnitedHealthcare $4 - $9 101%
University Of Pittsburgh Medical Center $4 - $16 101%
Jefferson Health Plans $5 127%
Pennsylvania Health And Wellness $8 203%
Geisinger $9 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Coal Valley Road, Jefferson Hills, PA 15025
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals