CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Round Rock Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $74
  • Cash Discount Price: $548
  • vs. Medicare Baseline: 18.73x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Round Rock Medical Center is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $548. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 18.73x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$548

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $548 (13873%)
Insurance Median: $74 (1873%)
Cash: $548 (13873% of Medicare)
Ins. Median: $74 (1873% 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 1873% of the Medicare baseline (a markup of 1773%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $3 - $210 76%
St David’S Hospice $3 - $4 76%
United $3 - $296 76%
Aetna $4 101%
American Health Plan Of Texas $4 101%
Cigna $4 - $11 101%
Devoted Health $4 101%
Humana $4 101%
Imperial Insurance $4 101%
Molina Healthcare $4 101%
Odyssey Hospice $4 101%
Provider Partners Health Plan $4 101%
Pyramid Life $4 101%
Sendero $4 - $7 101%
Shared Health $4 101%
Superior Health Plan $4 - $112 101%
Texas Independent Health Plan $4 101%
Triwest Health Alliance $4 101%
Triwest Healthcare Alliance $4 101%
Wellcare $4 101%
Wellmed $4 101%
Amerigroup $5 127%
Austin Fc $5 127%
Universal Health $5 127%
Naphcare $6 152%
Corvel Corporation $8 203%
Oscar $11 - $12 278%
Moda $103 - $155 2608%
Covenant Management Systems $126 - $190 3190%
Healthcare Highways $127 - $197 3215%
Imo Med - Select Network $131 - $197 3316%
Nomi Health $140 - $243 3544%
Moda Health $157 - $243 3975%
Evry Health $161 - $242 4076%
Texas Healthcare Foundation Heb $162 - $243 4101%
Texas Workforce Commission $170 - $257 4304%
Harbor Health Team $175 - $263 4430%
Averde Health $197 - $296 4987%
Comanche County $218 - $329 5519%
National Choicecare $218 - $329 5519%
Healthsmart Preferred Care $240 - $526 6076%
Independent Medical Systems $240 - $362 6076%
Physicians Cooperative Of Texas $240 - $362 6076%
Prime Health $262 - $395 6633%
First Health $275 - $473 6962%
Coastal Comp Health Networks $284 - $428 7190%
National Health Care $284 - $428 7190%
Occunet $306 - $461 7747%
Texas Municipal League $306 - $461 7747%
Medcorp Southwest $328 - $494 8304%
Preferred Health Arrangement $328 - $494 8304%
Rockport Healthcare Group $350 - $592 8861%
Bce Emergis Corporation $393 - $592 9949%
Beech Street $393 - $592 9949%
Medical Control Network Solutions $393 - $592 9949%
Multiplan $393 - $592 9949%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals