CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Hill Country Memorial Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Hill Country Memorial Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.
Cash / Self-Pay
$202

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: $202 (5114%)
Insurance Median: $4 (101%)
Cash: $202 (5114% 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
Community First Health Plans $3 - $54 76%
United $3 - $91 76%
Aetna $4 101%
Blue Cross Blue Shield $4 - $59 101%
Gonzaba Medical Group $4 101%
Ilumed $4 101%
Molina Healthcare $4 - $6 101%
Superior Health $4 - $10 101%
Triwest $4 101%
Triwest Health Alliance $4 101%
Wellcare $4 101%
Wellmed $4 101%
Superior $6 152%
Cigna $7 - $9 177%
Healthcare Highways $9 228%
Healthsmart Preferred Care $111 2810%
Multiplan $151 - $171 3823%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals