CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Roane Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Roane Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 8045 Roane Medical Center Drive, Harriman, TN.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $11 (278%)
Insurance Median: $6 (152%)
Cash: $11 (278% of Medicare)
Ins. Median: $6 (152% 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
Wellpoint $2 - $4 51%
UnitedHealthcare $3 - $4 76%
Aetna $4 - $6 101%
Blue Cross Blue Shield $4 - $8 101%
Cigna $4 - $9 101%
Devoted Health $4 101%
Farm Bureau $4 101%
Humana $4 101%
Tricare $4 101%
Wellcare $4 101%
Ehn $14 - $18 354%
Correctional Medical Services $19 - $24 481%
Community Services Network $20 - $26 506%
Usa Managed Care Organization $22 - $28 557%
Novanet $23 - $30 582%
Direct Care America $25 - $32 633%
Medsave Usa $25 - $32 633%
National Provider Network $25 - $32 633%
Beech Street $26 - $34 658%
Ccn Managed Care $26 - $34 658%
Initial Group $27 - $35 684%
Galaxy Health Network $28 - $36 709%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8045 Roane Medical Center Drive, Harriman, TN 37748
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals