CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Lake Granbury Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $32
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 8.10x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Lake Granbury Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 8.10x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $40 (1013%)
Insurance Median: $32 (810%)
Cash: $40 (1013% of Medicare)
Ins. Median: $32 (810% 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 810% of the Medicare baseline (a markup of 710%). 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 - $205 101%
American Health $4 101%
Blue Cross Blue Shield $4 - $75 101%
Cigna $4 - $117 101%
Hospice Non Par $4 101%
Humana $4 101%
Medicare (plans) $4 101%
Node Amerigroup Mcr Adv $4 101%
Node Care N Care $4 101%
Node Champva $4 101%
Node Va $4 101%
Provider Partners Health Plan $4 101%
Superior $4 - $11 101%
Tricare $4 101%
Triwest $4 101%
UnitedHealthcare $4 - $127 101%
Veterans Eval Services $4 101%
Medicaid / KanCare $5 - $153 127%
Node Us Dept Of Labor $5 127%
Healthspring $6 152%
Self Pay $6 - $33 152%
93% Payors Work Comp Tx $7 177%
Node Brookshire Brothers $7 177%
Node Brookshire Brothers Work Comp Tx $7 177%
Work Comp $8 203%
Amerigroup $14 - $43 354%
Healthsmart $55 - $209 1392%
Multiplan $75 - $262 1899%
Santa Fe Hospital Association $80 - $238 2025%
Galaxy Health $95 - $283 2405%
Medcorp Southwest $95 - $283 2405%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals