CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Memorial Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $17
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 4.30x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Memorial Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 4.30x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $23 (582%)
Insurance Median: $17 (430%)
Cash: $23 (582% of Medicare)
Ins. Median: $17 (430% 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 430% of the Medicare baseline (a markup of 330%). 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
Ambetter / Centene $2 - $20 51%
Amerigroup Mcr Adv-All Other Plans $2 - $17 51%
Care Improvement Plus - All Other Plans $2 - $17 51%
Care Improvement Plus Mcr $2 - $17 51%
Coventry First Hlth Mcr Adv $2 - $17 51%
Multiplan Mcr Adv $2 - $17 51%
Superior Allwell Mcr Adv-All Other Plans $2 - $17 51%
Triwest Va Pccc-All Plans $2 - $16 51%
UnitedHealthcare $2 - $48 51%
Universal American Mcr-All Other Plans $2 - $17 51%
Universal American Snp $2 - $18 51%
Amerigroup Chip $3 - $29 76%
Amerigroup Star $3 - $29 76%
Amerigroup Star Kids $3 - $29 76%
Amerigroup Star Plus $3 - $29 76%
Comm Health Chip $3 - $29 76%
Comm Health Perinatal-All Other Plans $3 - $29 76%
Molina Chip/Star-All Plans $3 - $29 76%
Scott & White Chip/Star-All Plans $3 - $29 76%
Superior Chip/Star $3 - $29 76%
Texas Childrens Hp - All Plans $3 - $29 76%
Comm Health Mcaid Hmo $4 - $30 101%
Comm Health Star $4 - $30 101%
Cigna $5 - $45 127%
Prime Healthcare Services-All Plans $5 - $42 127%
Aetna $6 - $48 152%
Capstar Health Network-All Plans $6 - $48 152%
Corvel Work Comp-All Plans $6 - $51 152%
Coventry First Hlth Hmo Ppo-All Other Plans $6 - $48 152%
Galaxy Health Network-All Plans $6 - $51 152%
Healthcare Highways-All Plans $6 - $48 152%
Humana $6 - $48 152%
Independent Med Sys Ppo-All Plans $6 - $51 152%
Multiplan Phcs Ppo-All Other Plans $6 - $51 152%
Provider Select Ppo-All Plans $6 - $51 152%
Three Rivers Ppo-All Plans $6 - $51 152%
Usa Mso - All Plans $6 - $51 152%
Blue Cross Blue Shield $19 - $20 481%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals