CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Holy Cross Hospital-Davis

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $124
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 31.39x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Holy Cross Hospital-Davis is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 31.39x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $98 (2481%)
Insurance Median: $124 (3139%)
Cash: $98 (2481% of Medicare)
Ins. Median: $124 (3139% 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 3139% of the Medicare baseline (a markup of 3039%). 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 - $146 76%
Cigna $3 - $195 76%
Medicaid / KanCare $3 76%
Uuhp $3 - $9 76%
Humana $4 101%
Medicare (plans) $4 101%
Centura Employee Plan $5 127%
Employer Direct Healthcare $5 127%
Motivhealth $5 127%
Select Health $7 - $120 177%
Molina $8 - $105 203%
Pehp $104 - $142 2633%
Aetna $108 - $206 2734%
Wise $127 - $129 3215%
Deseret Mutual Benefit Administrators $150 3797%
Multiplan $168 - $222 4253%
UnitedHealthcare $177 - $244 4481%
Emi Health $212 5367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 West Antelope Drive, Layton, UT 84041
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals