CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Northside Hospital Forsyth

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $74
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 18.73x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Northside Hospital Forsyth is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 18.73x the Medicare baseline. Located in 1200 Northside Forsyth Drive, Cumming, GA.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $133 (3367%)
Insurance Median: $74 (1873%)
Cash: $133 (3367% of Medicare)
Ins. Median: $74 (1873% 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 1873% of the Medicare baseline (a markup of 1773%). 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
Fairly Group $3 76%
Aetna $4 - $51 101%
Bccp $4 101%
Blue Cross Blue Shield $4 - $176 101%
Caresource $4 - $94 101%
Cbww $4 101%
Champus Va $4 101%
Clear Springs Eon Health $4 101%
Clover Health $4 101%
Coventry $4 - $172 101%
Humana $4 101%
Kaiser $4 - $220 101%
Medicaid / KanCare $4 - $5 101%
Medicare (plans) $4 - $5 101%
Pruitt Health Premier $4 101%
Tricare $4 101%
UnitedHealthcare $4 - $40 101%
Va Ccn $4 101%
Wellcare $4 101%
Ambetter / Centene $5 - $47 127%
Us Dept Of Labor Wc $5 127%
Amerigroup $6 - $36 152%
Corvel Workers Comp $6 152%
Employers Choice Network $6 152%
Georgia Workers Compensation $6 152%
Oscar $6 152%
Streamline Imaging $6 152%
Cigna $11 - $159 278%
Northside Health Network $24 - $76 608%
Georgia Reproductive Specialists $32 - $101 810%
Medlien Healthcare Services $32 - $101 810%
Med Care Solutions $36 - $114 911%
Health One Alliance_Ppo $44 - $139 1114%
Quick Trip $44 - $139 1114%
Novanet_Ppo $56 - $177 1418%
Phcs $60 - $190 1519%
Beech Steet $68 - $215 1722%
Multiplan $68 - $215 1722%
Multiplan Workers Comp $68 - $215 1722%
Careiq $80 - $253 2025%
Dekalb_Department Of Health $80 - $253 2025%
Fifa $80 - $253 2025%
Institutional Marietta Surgery Center $80 - $253 2025%
Institutional Veterans Evaluation Services $80 - $253 2025%
Rabun County Boc $80 - $253 2025%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Northside Forsyth Drive, Cumming, GA 30041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals