CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $34
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 8.61x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at University of Wi Hospitals & Clinics Authority is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 8.61x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $35 (886%)
Insurance Median: $34 (861%)
Cash: $35 (886% of Medicare)
Ins. Median: $34 (861% 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 861% of the Medicare baseline (a markup of 761%). 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 - $47 101%
Blue Cross Blue Shield $4 - $56 101%
Humana $4 101%
Medicare (plans) $4 101%
UnitedHealthcare $4 - $37 101%
Alliance_Premier_Network $28 709%
Mercycare $29 734%
Triology $30 - $36 759%
Security_Health_Plan $32 - $38 810%
Alliance $33 835%
Employer'S_Coalition_On_Health $33 - $46 835%
Beloit_Health_System $34 861%
Hfn $34 - $46 861%
United_Healthcare $34 - $50 861%
Aspirus_Health_Plan $35 886%
Cigna $35 886%
Health_Partners_Insurance $36 911%
Health_Payment_Systems $36 911%
Dean_Health_Plan $38 962%
Medical_Associates $39 987%
Employers_Healthcare_Coalition_Of_Wi $41 1038%
Wps $41 - $45 1038%
Aspirus_Network_Inc $46 1165%
Chorus_Community $47 1190%
Ghc_Eau_Claire_Health_Plan $47 1190%
Multiplan $47 - $54 1190%
Sheybogan_Employers_Health_Network $47 1190%
Coventry $50 1266%
Dean_Care $50 1266%
Healthsmart $52 1316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals