CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Upland Hills Health

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $26
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 6.58x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Upland Hills Health is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 6.58x the Medicare baseline. Located in 800 Compassion Way, Dodgeville, WI.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $46 (1165%)
Insurance Median: $26 (658%)
Cash: $46 (1165% of Medicare)
Ins. Median: $26 (658% 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 658% of the Medicare baseline (a markup of 558%). 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 $2 - $24 51%
UnitedHealthcare $2 - $3 51%
Ghc Of Eau Claire $6 152%
Ghc Of Sc Wi $6 - $58 152%
Mhs $6 - $24 152%
Humana $24 - $77 608%
Icare $24 608%
Medical Associates $24 - $64 608%
Security Health Plan $24 608%
Dean Health Plan $26 658%
Quartz $46 1165%
Alliance $48 1215%
Wps $52 - $54 1316%
Cigna $64 - $71 1620%
Multiplan $75 1899%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Compassion Way, Dodgeville, WI 53533
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals