CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Medical City North Hills

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $10
  • Cash Discount Price: $251
  • vs. Medicare Baseline: 2.53x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Medical City North Hills is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $251. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.53x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$251

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $251 (6354%)
Insurance Median: $10 (253%)
Cash: $251 (6354% of Medicare)
Ins. Median: $10 (253% 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 253% of the Medicare baseline (a markup of 153%). 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
Cook Childrens Health Plan $2 51%
Amerigroup $3 - $4 76%
Cigna $3 - $233 76%
Parkland Community Health Plan $3 76%
United $3 - $63 76%
Aetna $4 - $212 101%
American Health Plan Of Texas, Inc. $4 101%
Blue Cross Blue Shield $4 - $130 101%
Care N Care $4 101%
Cenpatico $4 101%
Devoted Health $4 101%
Humana $4 - $44 101%
Imperial Insurance Company $4 101%
Integranet $4 101%
Molina $4 101%
Mutual Of Omaha $4 101%
Procare Advantge $4 101%
Provider Partners Health Plan $4 101%
Superior Health Plan $4 - $20 101%
Texas Independent Health Plan $4 101%
Triwest Health Alliance $4 101%
Triwest Veterans $4 101%
Wellcare $4 101%
Wellmed $4 101%
Universal Healthcare Group $5 127%
Verda Health Plan $5 127%
Bravo Health $6 152%
Superior $7 - $9 177%
Corvel Corporation $8 203%
Usa Managed Care $8 - $233 203%
Molina Healthcare $10 253%
Oscar $10 253%
Unicare $44 - $292 1114%
Healthcare Highways $51 - $99 1291%
Evry Health $54 - $75 1367%
City Of Mckinney $94 - $131 2380%
Fidelis Securecare $94 - $131 2380%
National Choicecare $105 - $146 2658%
Pc Texas Partners $115 - $160 2911%
Physicians Coop Of Tx $115 - $160 2911%
Rockport Health Group $115 - $160 2911%
Averde Health, Inc $122 - $169 3089%
Magellan Behavior Health $126 - $175 3190%
Coastal Comp Health Networks $147 - $204 3722%
Mega Life $147 - $204 3722%
Multiplan Phcs $147 - $204 3722%
Healthsmart Preferred Care $157 - $219 3975%
Lewisville Isd/Dls Consulting $157 - $219 3975%
Usc Health Services $168 - $233 4253%
Galaxy Health Network $178 - $248 4506%
Independent Medical Systems $210 - $292 5316%
National Healthcare Solutions $210 - $292 5316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals