CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Texas Orthopedic Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Texas Orthopedic Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$225

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: $225 (5696%)
Insurance Median: $4 (101%)
Cash: $225 (5696% 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
Amerigroup $3 - $4 76%
Community Health Choice Mcd $3 76%
Texas Childrens Health Plans $3 - $37 76%
Texas Health Network $3 76%
United $3 - $101 76%
Aetna $4 - $23 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 - $79 101%
Christus (Usfhp) $4 101%
Cigna $4 - $22 101%
Devoted Health $4 101%
Humana $4 - $53 101%
Integranet Amerigroup Ipa $4 101%
Kelsey Seybold $4 101%
Molina $4 101%
Molina Healthcare $4 - $9 101%
Oscar $4 - $11 101%
Procare Advantage $4 101%
Provider Partners Health Plan Of Texas $4 101%
Shared Health $4 101%
Superior Health Plan $4 - $13 101%
Triwest Healthcare Alliance $4 101%
Van Lang Ipa $4 101%
Wellcare $4 101%
Wellmed $4 101%
Universal Healthcare Group $5 127%
Verda Health Plan $5 127%
Community Health Choice $6 152%
Superior $6 152%
Corvel Corporation $8 203%
Omni Healthcare $8 203%
Healthcare Highways $12 304%
Texas Workforce Commission $54 1367%
Evry Health $61 1544%
Imagine Health $79 2000%
Healthsmart Preferred Care $97 - $191 2456%
Averde Health $101 2557%
Fidelis Securecare Of Tx $101 2557%
Coventry National First Health $120 3038%
Physicians Cooperative Of Texas $123 3114%
Rockport Workers Comp $123 3114%
Independent Medical System $135 3418%
National Healthcare Solutions $135 3418%
Southwest Medical $135 3418%
Coastal Comp $146 3696%
Multiplan $168 - $191 4253%
International Health Insurance $180 4557%
Physicians, Inc $191 4835%
Affiliated Ppo $202 5114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals