CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Rio Grande Regional Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $721
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Rio Grande Regional Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $721. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$721

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: $721 (18253%)
Insurance Median: $5 (127%)
Cash: $721 (18253% 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
Driscoll Children'S Health Plan $3 76%
Texas Health Network $3 76%
United $3 - $325 76%
Aetna $4 101%
Allegian Health $4 - $289 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 - $325 101%
Cigna $4 - $14 101%
Humana $4 - $14 101%
Independent Medical System $4 101%
Molina $4 101%
Molina Healthcare $4 - $10 101%
Physicians Health Choice $4 101%
Prominence Health $4 101%
Provider Partners Health Plan Of Texas $4 101%
Shared Health $4 101%
Superior Health Plan $4 - $50 101%
Triwest Health Alliance $4 101%
Triwest Healthcare Alliance $4 101%
Wellmed $4 101%
Universal Health Care $5 127%
Superior $6 152%
Corvel Corporation $8 203%
Focus Healthcare $8 203%
Omni Healthcare $8 203%
Oscar $9 228%
Healthcare Highways $12 304%
Texas Workforce Commission $173 4380%
Averde Health $238 6025%
Healthsmart Preferred Care $310 - $613 7848%
First Health $415 10506%
National Healthcare Solutions $433 10962%
Southwest Medical $433 10962%
Coastal Comp $469 11873%
Usa Managed Care $469 - $577 11873%
Ppo Next/ Medical Control $541 13696%
Beech Street $577 14608%
Multiplan $577 14608%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals