CMS Price Transparency Data
Blood test, urea nitrogen (BUN, kidney)
Facility: Avoyelles Hospital
Billing Code: 84520 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84520
- Insurance Median: $95
- Cash Discount Price: $48
- vs. Medicare Baseline: 24.05x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Avoyelles Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 24.05x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$48
Average discount available for prompt cash payment at this facility.
Insurance Median
$95
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: $48 (1215%)
Insurance Median: $95 (2405%)
Cash: $48 (1215% of Medicare)
Ins. Median: $95 (2405% 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 2405% of the Medicare baseline (a markup of 2305%). 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.
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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 | $4 - $89 | 101% |
| Bankers Life | $4 | 101% |
| Champva | $4 | 101% |
| Cigna | $4 - $89 | 101% |
| Correct Cr Int Hlt | $4 - $33 | 101% |
| Humana | $4 - $90 | 101% |
| Mcd Amerihealth Caritas | $4 - $33 | 101% |
| Mcd Healthy Blue | $4 - $33 | 101% |
| Mcd La Hc Conn | $4 - $33 | 101% |
| Mcd Ms | $4 - $36 | 101% |
| Mcr Lagniappe | $4 | 101% |
| Medeico Ins Co | $4 | 101% |
| Medicaid / KanCare | $4 - $33 | 101% |
| Medicare (plans) | $4 | 101% |
| Mmc Allwell | $4 | 101% |
| Mmc Blue Advantage | $4 | 101% |
| Mmc Healthy Blue Dual Adv | $4 | 101% |
| Mmc Mcr Hmo Miscellaneous | $4 | 101% |
| Mmc Priority Hlth Pffs | $4 | 101% |
| Mmc Vantage Hlth | $4 | 101% |
| Mmc Wellcare | $4 | 101% |
| Mutual Of Omaha | $4 | 101% |
| Neba Inc | $4 | 101% |
| Philadelphia American Lif | $4 | 101% |
| Sentinel Security Life | $4 | 101% |
| Trustmark Health Benefits | $4 - $158 | 101% |
| Tunica Biloxi | $4 - $158 | 101% |
| United Amer Ins | $4 | 101% |
| UnitedHealthcare | $4 - $33 | 101% |
| Veterans Evaluation Serv | $4 | 101% |
| Wps Vacca | $4 | 101% |
| All Savers | $5 | 127% |
| Geha | $5 | 127% |
| Gulf South Zelis | $5 | 127% |
| United Hlth One | $5 | 127% |
| Amer Contl Ins | $6 - $89 | 152% |
| Blue Cross Blue Shield | $6 | 152% |
| Coventry | $6 - $89 | 152% |
| First Choice Health | $6 - $89 | 152% |
| Meritan Health | $6 - $158 | 152% |
| Ofc Of Grp Bene | $6 | 152% |
| Student Assurances | $48 - $158 | 1215% |
| Ppo Plus Llc | $95 | 2405% |
| Zelis Healthcare Bpa | $95 | 2405% |
| Gilsbar | $100 | 2532% |
| Amerind | $143 | 3620% |
| Applied Underwriters | $143 | 3620% |
| Sedgwick | $143 | 3620% |
| Us Dept Of Labor | $143 | 3620% |
| Wc Clms Admin Svcs | $143 | 3620% |
| Wc Clms Mgmnt Walmart | $143 | 3620% |
| Wc Esis | $143 | 3620% |
| Wc Fara | $143 | 3620% |
| Wc Gallagher Bassett | $143 | 3620% |
| Wc Guide One | $143 | 3620% |
| Wc Hartford Med | $143 | 3620% |
| Wc Luba | $143 | 3620% |
| Wc Lwcc | $143 | 3620% |
| Wc Paragon Casino Resort | $143 | 3620% |
| Wc Risk Mgmnt | $143 | 3620% |
| Wc Stone Trust | $143 | 3620% |
| Wc Summit Consulting Hold | $143 | 3620% |
| Wc Travelers Ins | $143 | 3620% |
| Wc Trs Workers Comp Claim | $143 | 3620% |
| Wc Us Dol | $143 | 3620% |
| Wc Zurich | $143 | 3620% |
| Aarp | $158 | 4000% |
| Admin Concepts | $158 | 4000% |
| All Saints Hospice | $158 | 4000% |
| All State | $158 | 4000% |
| Allegiance Health Hospice | $158 | 4000% |
| Allied Natl | $158 | 4000% |
| Amfirst | $158 | 4000% |
| Avoy Parish School Board | $158 | 4000% |
| Avoyelles Parish Sheriff | $158 | 4000% |
| Bollinger | $158 | 4000% |
| Ccmsi | $158 | 4000% |
| Central States | $158 | 4000% |
| Christus Health Plan | $158 | 4000% |
| Compassionate Care Hospic | $158 | 4000% |
| Core Source | $158 | 4000% |
| Coushatta Hlth Dept | $158 | 4000% |
| Ebms | $158 | 4000% |
| Federated Ins | $158 | 4000% |
| Feedom Life | $158 | 4000% |
| Fidelity Standard Life Co | $158 | 4000% |
| Fox Everette | $158 | 4000% |
| Guarantee Trust | $158 | 4000% |
| Heart Of Hospice | $158 | 4000% |
| Hos Christus Hospice | $158 | 4000% |
| Hos Guardian Hospice Care | $158 | 4000% |
| Hos Harbor Hospice Alex | $158 | 4000% |
| Hos La Hospice Palliative | $158 | 4000% |
| Hos Passages Hospice N. | $158 | 4000% |
| Hos St Joseph Hospice | $158 | 4000% |
| Hospice Miscellaneous | $158 | 4000% |
| Ins Mgmnt Admin | $158 | 4000% |
| Ins Tpa | $158 | 4000% |
| Liberty Health Share | $158 | 4000% |
| Lumico | $158 | 4000% |
| Manhattan Life Ins | $158 | 4000% |
| Medi Share | $158 | 4000% |
| Misc Comm | $158 | 4000% |
| Nalc | $158 | 4000% |
| New Era Life | $158 | 4000% |
| North American | $158 | 4000% |
| Phcs | $158 | 4000% |
| Physicians Mutual | $158 | 4000% |
| Pipeline Ind Bene | $158 | 4000% |
| Progressive Auto | $158 | 4000% |
| Reliance Standard Life | $158 | 4000% |
| Rural Carriers | $158 | 4000% |
| Shelter Ins Co | $158 | 4000% |
| Sierre Health And Life | $158 | 4000% |
| State Farm | $158 | 4000% |
| State Mutual | $158 | 4000% |
| Sterling Investors | $158 | 4000% |
| The Health Plan | $158 | 4000% |
| Tribal Hlth Partners | $158 | 4000% |
| Tricare | $158 | 4000% |
| Uct | $158 | 4000% |
| Unified Life | $158 | 4000% |
| Usaa Life Ins | $158 | 4000% |
| Web-Tpa | $158 | 4000% |
| Woodmen Of The World | $158 | 4000% |