CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $40
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 10.13x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Marshfield Medical Center - Eau Claire is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 10.13x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.
Cash / Self-Pay
$42

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: $42 (1063%)
Insurance Median: $40 (1013%)
Cash: $42 (1063% 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 - $42 101%
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 - $39 354%
Family Health Center (Fhc) $21 - $24 532%
Amish/Mennonite $23 - $26 582%
Sanford Health Plan $23 - $26 582%
The Alliance $28 - $204 709%
Besse Forest Products $36 - $40 911%
Molina Healthcare Of Wi $36 - $40 911%
Rice Lake School District $36 - $40 911%
Wps Health Insurance $37 - $45 937%
Medica Of Wi $39 - $45 987%
Cigna $40 - $45 1013%
Corvel $40 - $45 1013%
Coventry $40 - $45 1013%
First Health $40 - $45 1013%
Health Partners $40 - $45 1013%
Health Smart $40 - $45 1013%
Healtheos By Multiplan Inc. $40 - $45 1013%
Three Rivers Provider Network (Trpn) $40 - $45 1013%
Trilogy $40 - $45 1013%
Rising Medical Work Comp $41 - $46 1038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2310 Craig Rd, Eau Claire, WI 54701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals