CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Intermountain Health Fillmore Community Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $49
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 12.41x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Intermountain Health Fillmore Community Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 12.41x the Medicare baseline. Located in 674 South Highway 99, Fillmore, UT.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $124 (3139%)
Insurance Median: $49 (1241%)
Cash: $124 (3139% of Medicare)
Ins. Median: $49 (1241% 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 1241% of the Medicare baseline (a markup of 1141%). 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 - $267 101%
American Health $4 - $128 101%
Blue Cross Blue Shield $4 - $264 101%
Health Partners Of Nevada $4 - $128 101%
Health Plan Of Nevada $4 - $247 101%
Healthy U $4 - $247 101%
Humana $4 - $128 101%
Molina $4 - $264 101%
Selecthealth $4 - $264 101%
UnitedHealthcare $4 - $264 101%
Triwest $23 - $123 582%
Injury Care Of Nevada $39 - $209 987%
Byu Risk Management $44 - $236 1114%
Corporation Of The President $44 - $236 1114%
Corvel Corporation $44 - $236 1114%
Wcf Insurance $44 - $236 1114%
Awh Connected $49 - $267 1241%
Byu Athletics $49 - $264 1241%
Campbell Scientific $49 - $264 1241%
Cigna $49 - $264 1241%
Deseret Mutual $49 - $264 1241%
Emi $49 - $264 1241%
Emi Health $49 - $264 1241%
Franklin County $49 - $264 1241%
Global Excel $49 - $264 1241%
Health Utah $49 - $264 1241%
Hygeia Corporation $49 - $264 1241%
Ifit $49 - $264 1241%
Juniper Systems $49 - $264 1241%
Lw Miller $49 - $264 1241%
Managed Care Admin $49 - $264 1241%
Medcare International $49 - $264 1241%
Motivhealth $49 - $264 1241%
Pehp $49 - $264 1241%
Prodegi Corp Benefit $49 - $264 1241%
Springtide $49 - $264 1241%
Tanner Llc $49 - $264 1241%
Uofu $49 - $264 1241%
Utah Tech $49 - $264 1241%
Wise Network $49 - $264 1241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals