CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Freestone Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $8
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Freestone Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.03x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $18 (456%)
Insurance Median: $8 (203%)
Cash: $18 (456% of Medicare)
Ins. Median: $8 (203% 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 203% of the Medicare baseline (a markup of 103%). 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
Blue Cross Blue Shield $1 - $29 25%
Amerigroup $2 - $10 51%
Mcaid $2 - $7 51%
Misc Mcaid Hmo $2 - $10 51%
Superior Health Chip $2 - $7 51%
Tx Childrens Mcaid $2 - $7 51%
UnitedHealthcare $2 - $10 51%
Aarp $3 76%
Apwu $3 76%
Fringe Benefits $3 76%
Geha $3 76%
Gilsbar $3 - $32 76%
Medicaid / KanCare $3 - $15 76%
Rightcare S&W Mcaid $3 - $10 76%
Superior Health Mcd $3 - $15 76%
Uhcss $3 76%
Aarp Mcare /Wellmed $4 101%
Aetna $4 - $26 101%
Allwell Superior Hlth $4 101%
Ambetter / Centene $4 101%
Care Improvement Plus $4 101%
Champva $4 101%
Humana $4 - $32 101%
Medicare (plans) $4 101%
Misc Mcare Replacement $4 101%
Pphp Prov Part Hlth Plan $4 101%
Scott & White Senior Care $4 101%
Superior Hlth Mcare Repl $4 101%
Tricare $4 101%
Triwest $4 101%
Triwest Va Ccn Claims $4 101%
Utmb Corr Mgd Care $4 101%
Va Vha Office Comm Care $4 101%
Veteran'S Administration $4 101%
Wellmed $4 101%
Scott & White Commercial $5 127%
Scott & White Employees $5 127%
Cigna $6 - $20 152%
Misc Multiplan $7 - $23 177%
Misc Multiplan Auto $7 - $23 177%
Misc Multiplan Workcomp $7 - $23 177%
Self Pay Gt 083123 $7 - $23 177%
Self Pay Lt 090123 $7 - $23 177%
Workers Compensation $8 203%
Aflac $10 - $32 253%
Bankers Life $10 - $32 253%
Fairview Nursing Home $10 - $32 253%
Icare $10 - $32 253%
Inmate Freestone Co $10 - $32 253%
Misc Hospice $10 - $32 253%
Miscellaneous $10 - $32 253%
Miscellaneous Auto $10 - $32 253%
Mutual Of Omaha $10 - $32 253%
North American Med Empl $10 - $32 253%
Standard Life Insurance $10 - $32 253%
Tml $10 - $32 253%
Zelis Healthcare $10 - $32 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals