CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Orem Community Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $52
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 13.16x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Orem Community Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 13.16x the Medicare baseline. Located in 331 North 400 West, Orem, UT.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $146 (3696%)
Insurance Median: $52 (1316%)
Cash: $146 (3696% of Medicare)
Ins. Median: $52 (1316% 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 1316% of the Medicare baseline (a markup of 1216%). 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
Donor Connect $1 - $91 25%
Aetna $4 - $278 101%
American Health $4 101%
Blue Cross Blue Shield $4 - $249 101%
Health Partners Of Nevada $4 101%
Health Plan Of Nevada $4 - $98 101%
Healthy U $4 101%
Humana $4 101%
Molina $4 - $311 101%
Selecthealth $4 - $166 101%
Triwest $4 101%
UnitedHealthcare $4 - $278 101%
Intermountain Caregiver Plan $8 - $158 203%
Emi $33 - $177 835%
Deseret Mutual $35 - $188 886%
Cigna $38 - $278 962%
Awh Connected $39 - $211 987%
Emi Health $42 - $227 1063%
Pehp $42 - $291 1063%
Byu Risk Management $43 - $239 1089%
Corporation Of The President $43 - $239 1089%
Wcf Insurance $43 - $239 1089%
Byu Athletics $44 - $236 1114%
Campbell Scientific $44 - $236 1114%
Corvel Corporation $44 - $236 1114%
Franklin County $44 - $236 1114%
Ifit $44 - $236 1114%
Juniper Systems $44 - $236 1114%
Lw Miller $44 - $236 1114%
Tanner Llc $44 - $236 1114%
Utah Tech $44 - $236 1114%
Injury Care Of Nevada $46 - $245 1165%
Managed Care Admin $48 - $255 1215%
Prodegi Corp Benefit $50 - $268 1266%
Uofu $50 - $268 1266%
Springtide $51 - $272 1291%
Global Excel $52 - $278 1316%
Medcare International $52 - $278 1316%
Motivhealth $52 - $278 1316%
Wise Network $52 - $278 1316%
Hygeia Corporation $55 - $294 1392%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 331 North 400 West, Orem, UT 84057
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals