CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Erlanger Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Erlanger Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $84 (2127%)
Insurance Median: $5 (127%)
Cash: $84 (2127% of Medicare)
Ins. Median: $5 (127% 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 - $5 51%
Humana $2 - $7 51%
UnitedHealthcare $2 - $6 51%
Blue Cross Blue Shield $3 - $245 76%
Bluecard - Network P $3 - $11 76%
Bluecard - Network S $3 - $11 76%
Aetna $4 - $150 101%
Alexian $4 - $8 101%
American Health $4 101%
Atrio Health $4 - $7 101%
Bluecare $4 - $22 101%
Caresource $4 - $8 101%
Cigna $4 - $138 101%
Clover $4 101%
Devoted Health $4 - $6 101%
Nhc $4 101%
Upmc $4 101%
Wellpoint $4 101%
Ambetter / Centene $5 127%
Point Comfort Underwriters $5 - $7 127%
Caresource Ga $6 - $10 152%
Caresource Nc $6 - $10 152%
Caresource Tn $6 - $10 152%
Pruitthealth Premier $6 - $8 152%
Pnoa $10 253%
Olympus $168 - $230 4253%
Alliant $230 5823%
First Health $245 - $260 6203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals