CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Doctors Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $387
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Doctors Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$387

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: $387 (9797%)
Insurance Median: $4 (101%)
Cash: $387 (9797% 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
Blue Cross Blue Shield $3 - $4 76%
Humana $3 - $4 76%
Absolute Total Care $4 - $70 101%
Aetna $4 - $214 101%
Caresource $4 101%
Clover $4 101%
Coventry $4 101%
Devoted Health $4 101%
Eon Health $4 101%
Friday Health $4 101%
Georgia Assurance $4 101%
Health Net $4 101%
Healthspring $4 101%
Regency Hospice $4 101%
Shared Health $4 101%
St Joseph Hospice $4 101%
United $4 - $174 101%
Wellcare $4 - $77 101%
Ambetter / Centene $5 127%
Blue Choice $5 127%
Health One Alliance $5 127%
Qtc Medical Group $5 127%
Dept Of Community Health $6 152%
Amerigroup $55 1392%
Nhc Advantage $74 1873%
Pruitt Health $74 1873%
Peach State $77 1949%
Centurion $107 2709%
Americas 1St Choice $108 2734%
Medcost $194 - $248 4911%
Kaiser Permanente $212 5367%
Multiplan $232 - $349 5873%
Performax $263 6658%
First Health $291 7367%
Employer'S Health Network $310 7848%
Novanet $349 8835%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals