CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Medina Regional Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $25
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 6.33x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Medina Regional Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 6.33x the Medicare baseline. Located in 3100 Avenue E, Hondo, TX.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $57 (1443%)
Insurance Median: $25 (633%)
Cash: $57 (1443% of Medicare)
Ins. Median: $25 (633% 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 633% of the Medicare baseline (a markup of 533%). 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
Curative $6 - $38 152%
Superior Health Plan $15 - $24 380%
UnitedHealthcare $15 - $47 380%
Blue Cross Blue Shield $18 456%
Community First Health Plan $19 - $63 481%
Amerivantage $21 532%
Aetna $22 - $38 557%
Cigna $25 633%
Blue Advantage $32 810%
Benefit Administrators $63 1595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Avenue E, Hondo, TX 78861
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals