CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $8
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at CHI St Lukes Lakeside Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.03x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $25 (633%)
Insurance Median: $8 (203%)
Cash: $25 (633% of Medicare)
Ins. Median: $8 (203% 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 203% of the Medicare baseline (a markup of 103%). 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
Blue Cross Blue Shield $3 - $20 76%
Renaissance $3 76%
Tchp $3 - $4 76%
United $3 - $33 76%
UnitedHealthcare $3 - $58 76%
Wellpoint $3 - $6 76%
Aetna $4 - $48 101%
Amerivantage $4 101%
Chc $4 - $38 101%
Cigna $4 - $49 101%
Devoted $4 101%
Humana $4 - $46 101%
Kelsey $4 101%
Kindred $4 101%
Scanhealth $4 101%
Selectcare $4 101%
Kelseycare $5 127%
Ambetter / Centene $6 152%
Community Health Choice $6 152%
Harris Health $6 152%
Bright Health $7 177%
Nx Health $13 329%
Tchpchip $24 - $31 608%
Texastruechoice $38 962%
Coventry $46 1165%
First Health $46 1165%
Healthsmart $49 1241%
Interlink $49 1241%
Multiplan $52 1316%
USA Health Network $60 1519%
Mhealth Network $70 1772%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17400 St Lukes Way, The Woodlands, TX 77384
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals