CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Stanly Regional Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $47
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 11.90x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Stanly Regional Medical Center is $47. 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 11.90x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $47 (1190%)
Cash: $46 (1165% of Medicare)
Ins. Median: $47 (1190% 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 1190% of the Medicare baseline (a markup of 1090%). 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 - $83 101%
Cigna $4 - $74 101%
Humana $4 101%
UnitedHealthcare $4 - $63 101%
Alliance $5 - $11 127%
Amerihealth Caritas $5 - $11 127%
Carolina Complete Health $5 - $11 127%
Healthy Blue $5 - $11 127%
Partners $5 - $11 127%
Trillium $5 - $12 127%
Vaya $5 - $11 127%
Wellcare $5 - $11 127%
Ambetter / Centene $7 - $34 177%
Blue Cross Blue Shield $7 - $48 177%
Physician Reach Out $46 1165%
Employers Health Network $49 - $53 1241%
Magellan $55 1392%
Medcost $59 - $89 1494%
Gmmi $60 1519%
Quik Trip $60 1519%
Carolina Behavioral Health $67 - $74 1696%
First Health $83 2101%
Healthgram $83 2101%
Choicecare $87 2203%
Lifesynch Community Choice Care $87 2203%
Multiplan $87 2203%
Private Health Care Systems $87 2203%
Beechstreet $89 2253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals