CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Atrium Health Cleveland

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $45
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 11.39x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Atrium Health Cleveland is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 11.39x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $46 (1165%)
Insurance Median: $45 (1139%)
Cash: $46 (1165% of Medicare)
Ins. Median: $45 (1139% 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 1139% of the Medicare baseline (a markup of 1039%). 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
Aetna $4 - $71 101%
Cigna $4 - $74 101%
Humana $4 101%
UnitedHealthcare $4 - $49 101%
Alliance $5 - $15 127%
Amerihealth Caritas $5 - $13 127%
Carolina Complete Health $5 - $13 127%
Healthy Blue $5 - $13 127%
Partners $5 - $13 127%
Trillium $5 - $14 127%
Vaya $5 - $13 127%
Wellcare $5 - $13 127%
Blue Cross Blue Shield $7 - $38 177%
Ambetter / Centene $30 - $34 759%
Employers Health Network $41 - $49 1038%
Physician Reach Out $46 1165%
Medcost $52 - $61 1316%
Magellan $55 1392%
Gmmi $60 1519%
Quik Trip $60 1519%
Carolina Behavioral Health $67 - $74 1696%
Healthgram $74 1873%
Choicecare $76 1924%
First Health $79 2000%
Lifesynch Community Choice Care $79 2000%
Private Health Care Systems $83 2101%
Beechstreet $85 2152%
Multiplan $88 2228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 E Grover St, Shelby, NC 28150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals