CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Southern Regional Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Southern Regional Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $3 (76%)
Insurance Median: $4 (101%)
Cash: $3 (76% of Medicare)
Ins. Median: $4 (101% 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.

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 $3 - $4 76%
Americas Choice Provider Network $4 101%
Blue Cross Blue Shield $4 - $5 101%
Caresource $4 - $6 101%
Cigna $4 - $7 101%
Clear Spring Health Plan $4 101%
Corvel $4 101%
Devoted Health $4 101%
Georgia Workers’ Compensation $4 101%
Humana $4 - $8 101%
Medicare (plans) $4 101%
Multiplan $4 101%
Novanet $4 101%
Peach State $4 - $6 101%
Prime Health Services $4 101%
Provider Select $4 101%
Riverwood Behavioral Health $4 - $5 101%
Sonder Health Plan $4 101%
Three Rivers $4 101%
Tricare $4 101%
UnitedHealthcare $4 101%
Wellcare $4 - $6 101%
Oscar Health Plan $5 127%
Amerihealth Caritas $6 152%
Centurion $6 152%
Employer Direct Healthcare $6 152%
Medicaid / KanCare $6 152%
Naphcare $6 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals