CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Childrens Medical Ctr of Dallas

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $120
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 30.38x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Childrens Medical Ctr of Dallas is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 30.38x the Medicare baseline. Located in 1935 Medical District Drive, Dallas, TX.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $128 (3241%)
Insurance Median: $120 (3038%)
Cash: $128 (3241% of Medicare)
Ins. Median: $120 (3038% 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 3038% of the Medicare baseline (a markup of 2938%). 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
Aetna $4 - $120 101%
Humana $4 - $128 101%
Medicaid / KanCare $4 101%
Oklahoma Complete Health $4 101%
Superior Health Plan $4 101%
Firstcare Health $41 1038%
Wellpoint $50 1266%
Molina Healthcare $55 1392%
Parkland Community $56 1418%
Texas Children'S Health Plan $56 1418%
Cookchildren'S Health Plan $58 1468%
Carelon $63 - $84 1595%
Blue Cross Blue Shield $68 - $116 1722%
UnitedHealthcare $91 - $128 2304%
Methodist $97 2456%
Cigna $113 - $118 2861%
Employers Health Network $120 3038%
Imagine Health $120 3038%
Scott & White $121 3063%
Txp Emerging Therapy Solutions $121 3063%
Healthsmart $125 - $145 3165%
Healthscope Benefit Solutions $128 3241%
Phcs $128 3241%
Quiktrip (Qt) $128 3241%
Txp Interlink $128 3241%
Coventry Health $137 3468%
Equifax Healthcare $145 3671%
Multiplan $145 3671%
Usa Managed Care $159 4025%
Galaxy Health $166 4203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1935 Medical District Drive, Dallas, TX 75235
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens