CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Lafollette Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Lafollette Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $21 (532%)
Insurance Median: $4 (101%)
Cash: $21 (532% of Medicare)
Ins. Median: $4 (101% 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
Amerigroup $2 51%
Medicaid / KanCare $2 - $4 51%
UnitedHealthcare $2 - $71 51%
Aetna $4 - $44 101%
Blue Cross Blue Shield $4 - $17 101%
Humana $4 101%
Medicare (plans) $4 101%
Node Amerigroup Mcr Adv $4 101%
Node Blueadvantage Mcr Adv $4 101%
Node Bluecare Plus Tn Mcr Adv $4 101%
Node Champva $4 101%
Node Devoted Health Mcr Adv $4 101%
Node Farm Bureau Mcr Adv $4 101%
Node Healthspring Mcr Adv $4 101%
Node Hospice Non Par Agree $4 101%
Node Nhc Mcr Adv $4 101%
Node Va $4 101%
Node Wellcare Mcr Adv $4 101%
Tricare $4 101%
Triwest $4 101%
Veterans Eval Services $4 101%
Wellcare $4 101%
Windsor Health Plan $4 101%
Node Us Dept Of Labor $5 127%
Cigna $6 152%
Novanet Work Comp Tn $6 152%
Tn Work Comp $6 152%
Ambetter / Centene $7 177%
Bluecare $8 - $10 203%
Node Point Comfort Underwriters $9 228%
Self Pay $21 532%
Multiplan Complementary $54 1367%
Beech Street Work Comp Tn $587 14861%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals