CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $40
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 10.13x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Marshfield Medical Center - Rice Lake is $40. 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 10.13x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $40 (1013%)
Cash: $49 (1241% of Medicare)
Ins. Median: $40 (1013% 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 1013% of the Medicare baseline (a markup of 913%). 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 $4 - $25 101%
Group Health Cooperative Of Eau Claire $4 - $59 101%
Managed Health Services $4 101%
Point Comfort Underwriters $4 101%
Security Health Plan (Shp) $4 - $27 101%
Veteran'S Administration (Va Ccn) $4 101%
UnitedHealthcare $14 - $51 354%
Family Health Center (Fhc) $21 - $31 532%
Amish/Mennonite $23 - $34 582%
Sanford Health Plan $23 - $34 582%
The Alliance $28 - $204 709%
Molina Healthcare Of Wi $36 - $52 911%
Besse Forest Products $40 - $58 1013%
Cigna $40 - $58 1013%
Corvel $40 - $58 1013%
Coventry $40 - $59 1013%
First Health $40 - $58 1013%
Health Partners $40 - $58 1013%
Health Smart $40 - $59 1013%
Healtheos By Multiplan Inc. $40 - $58 1013%
Medica Of Wi $40 - $60 1013%
Rice Lake School District $40 - $58 1013%
Trilogy $40 - $59 1013%
Rising Medical Work Comp $41 - $59 1038%
Three Rivers Provider Network (Trpn) $41 - $60 1038%
Wps Health Insurance $41 - $60 1038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 West Stout Street, Rice Lake, WI 54868
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals