CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Memorial Medical Center

Billing Code: 84520 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$19
about 4.8× the $4 Medicare rate · typically $8–$21
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $19 Cash price $23 Hospital's list price $34

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2 - $48 51%
Blue Cross Blue Shieldmajor $19 - $20 481%
Aetnamajor $2 - $48 51%
Cignamajor $5 - $45 127%
Humanamajor $6 - $48 152%
Ambetter (Centene) $2 - $20 51%
Amerigroup $2 - $29 51%
Health Net $6 - $48 152%
Healthcare Highways $6 - $48 152%
Molina $3 - $29 76%
+ 13 smaller / regional plans $2 - $51
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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