CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Marshfield Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $36
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 9.11x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Marshfield Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 9.11x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $50 (1266%)
Insurance Median: $36 (911%)
Cash: $50 (1266% of Medicare)
Ins. Median: $36 (911% 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 911% of the Medicare baseline (a markup of 811%). 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 - $63 101%
Managed Health Services $4 101%
Security Health Plan (Shp) $4 - $27 101%
Veteran'S Administration (Va Ccn) $4 101%
UnitedHealthcare $14 354%
Family Health Center (Fhc) $19 - $34 481%
Amish/Mennonite $21 - $38 532%
Sanford Health Plan $21 - $38 532%
The Alliance $26 - $57 658%
Besse Forest Products $32 - $58 810%
Molina Healthcare Of Wi $32 - $58 810%
Rice Lake School District $32 - $58 810%
Trilogy $34 - $65 861%
Wps Health Insurance $34 - $66 861%
Medica Of Wi $35 - $65 886%
Cigna $36 - $64 911%
Corvel $36 - $65 911%
Coventry $36 - $65 911%
First Health $36 - $65 911%
Health Partners $36 - $65 911%
Health Smart $36 - $65 911%
Healtheos By Multiplan Inc. $36 - $65 911%
Three Rivers Provider Network (Trpn) $36 - $65 911%
Rising Medical Work Comp $37 - $66 937%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals