CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Pullman Regional Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $48
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 12.15x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Pullman Regional Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 12.15x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $49 (1241%)
Insurance Median: $48 (1215%)
Cash: $49 (1241% of Medicare)
Ins. Median: $48 (1215% 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 1215% of the Medicare baseline (a markup of 1115%). 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
Premera First - All Plans $2 51%
Blue Cross Blue Shield $20 - $55 506%
Community Care Ntwrk Mcare-All Plans $20 506%
Humana $20 506%
Kaiser Mcare Advan $20 506%
Sterling Mcr Adv-All Plans $20 506%
Triwest - All Plans $20 506%
Community Health Plan Mcaid-All Plans $21 532%
Medicaid / KanCare $21 532%
Molina Hlthcare Mcaid-All Plans $21 532%
Wellcare Mcaid -All Other Plans $21 532%
Wellpoint Mcaid - All Plans $21 532%
Wellcare Mcr Adv $22 557%
Idaho Dshs-All Plans $24 608%
Single Case Agree - All Plans $42 1063%
First Choice Admin $48 1215%
Admin Wsu Student-All Plans $49 1241%
Multiplan - All Plans $49 1241%
Asuris Nw Hlth-All Plans $52 1316%
Cigna $52 1316%
First Choice - All Other Plans $52 1316%
Focus Hlthcare - All Plans $52 1316%
Northwest One - All Plans $52 1316%
UnitedHealthcare $52 1316%
Aetna $55 1392%
Great West Hlth-All Plans $55 1392%
Integrated Hp - All Plans $55 1392%
Spokane Phco - All Plans $55 1392%
Kaiser - All Other Plans $56 1418%
Provider Network Of America-All Plans $57 1443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals