CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Methodist Southlake Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Methodist Southlake Medical Center is $6. 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 1.52x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (152%)
Cash: $25 (633% of Medicare)
Ins. Median: $6 (152% 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.

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
Bind Benefits Inc [1004] $2 51%
Definity Health [3006] $2 51%
Freedom Life Insurance Company [2029] $2 51%
Geha Federal [3066] $2 51%
Tml Intergovernmental Employee Benefits [3050] $2 51%
UnitedHealthcare $2 - $4 51%
Aetna $4 - $131 101%
American Health Advantage Of Texas [7099] $4 101%
Blue Cross Blue Shield $4 - $13 101%
Cigna $4 - $7 101%
Globalhealth [1003] $4 101%
Humana $4 101%
Medicare (plans) $4 101%
Procare Advantage [7018] $4 101%
Provider Partners Health Plan [7025] $4 101%
Southwestern Health Resources Swhr [7015] $4 101%
Ust Health Proof [1005] $4 101%
Wellcare [7016] $4 101%
Alternative Service Concepts [8005] $5 127%
Oscar Insurance Company [2057] $5 127%
Scott & White Health Plan Trs [3062] $5 - $131 127%
Bright Healthcare [2222] $6 152%
Kempton Group Administrators, Tower Extrusions [3061] $6 152%
Molina [3017] $6 152%
Wellpoint Marketplace Exchange [3071] $6 152%
90 Degree Benefit [3057] $7 177%
Allied National [2031] $7 177%
Ambetter / Centene $7 177%
Entrust/90 Degree [2058] $7 177%
Friday Health Plan [2061] $7 177%
Imperial Insurance Companies [3073] $7 177%
Web Tpa [3049] $7 - $17 177%
Department Of Labor [8004] $8 203%
Evry Health [1013] $8 203%
Generic Workers Comp Tx Non Par [9010] $8 203%
Generic Workers Comp Tx Par [8002] $8 203%
Generic Workers Comp Tx Par [9011] $8 203%
Sana Benefits [3069] $8 203%
Tristar Risk Management [8006] $8 203%
Velocity [3070] $8 203%
Health Plans Inc [5017] $10 253%
Medical Cost Containment Professionals [3059] $10 253%
Dart Member Care [3039] $11 278%
Healthscope Benefits [2052] $11 278%
Healthscope Benefits [3063] $11 278%
Medicaid / KanCare $12 - $14 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 E State Highway 114, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals