CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Athur M Blank Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84520
Insurance Median: $137
Cash Discount Price: $196
vs. Medicare Baseline: 34.68x Medicare

The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Athur M Blank Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 34.68x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $196 (4962%)

Insurance Median: $137 (3468%)

Cash: $196 (4962% of Medicare)

Ins. Median: $137 (3468% 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 3468% of the Medicare baseline (a markup of 3368%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup [102]	$6	152%
Caresource [61]	$6	152%
Peachstate [43]	$6	152%
Blue Cross Blue Shield	$126 - $197	3190%
Cigna	$126 - $134	3190%
United [5]	$126 - $134	3190%
Ambetter / Centene	$127 - $135	3215%
Oscar [228]	$127 - $135	3215%
Aetna	$128 - $136	3241%
Caresource Marketplace Bronze/Silver/Gold [60]	$129 - $137	3266%
Kaiser [6]	$129 - $138	3266%
Sidecar Health [236]	$131 - $139	3316%
Coventry [9]	$133 - $142	3367%
Direct Employer Agreements [72]	$133 - $172	3367%
Northeast Georgia Heatlh System [808]	$142 - $152	3595%
Veracity Benefits [809]	$142 - $152	3595%
First Health [74]	$143 - $152	3620%
Phcs [93]	$162 - $172	4101%
Secure Health [340]	$162 - $172	4101%
Beech Street [71]	$171 - $182	4329%
Multiplan [92]	$186 - $198	4709%
Novanet [41]	$190 - $202	4810%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $196.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84520.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Athur M Blank Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84520.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.