CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Medical City Fort Worth

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $11
  • Cash Discount Price: $401
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Medical City Fort Worth is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $401. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.78x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$401

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $401 (10152%)
Insurance Median: $11 (278%)
Cash: $401 (10152% of Medicare)
Ins. Median: $11 (278% 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 278% of the Medicare baseline (a markup of 178%). 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 - $215 76%
Healthspring Life $3 76%
Parkland Community Health Plan $3 76%
United $3 - $76 76%
Aetna $4 - $239 101%
American Health Plan Of Texas, Inc. $4 101%
Blue Cross Blue Shield $4 - $181 101%
Care N Care $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 - $28 101%
Texas Independent Health Plan $4 101%
Triwest $4 101%
Triwest Health Alliance $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 - $325 203%
Molina Healthcare $10 253%
Oscar $10 253%
Unicare $87 - $407 2203%
Healthcare Highways $97 - $137 2456%
Evry Health $102 - $105 2582%
City Of Mckinney $178 - $183 4506%
Fidelis Securecare $178 - $183 4506%
Emerging Therapy Solutions $198 - $293 5013%
National Choicecare $198 - $203 5013%
Pc Texas Partners $218 - $224 5519%
Physicians Coop Of Tx $218 - $224 5519%
Rockport Health Group $218 - $224 5519%
Averde Health, Inc $230 - $236 5823%
Coastal Comp Health Networks $277 - $285 7013%
Mega Life $277 - $285 7013%
Multiplan Phcs $277 - $285 7013%
Healthsmart Preferred Care $281 - $289 7114%
Lewisville Isd/Dls Consulting $297 - $305 7519%
Usc Health Services $317 - $325 8025%
Galaxy Health Network $336 - $346 8506%
UnitedHealthcare $340 - $350 8608%
Independent Medical Systems $396 - $407 10025%
National Healthcare Solutions $396 - $407 10025%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals