CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Medical City Lewisville

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $820
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Medical City Lewisville is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $820. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$820

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: $820 (20759%)
Insurance Median: $6 (152%)
Cash: $820 (20759% 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
Cook Childrens Health Plan $2 51%
Amerigroup $3 - $4 76%
Cigna $3 - $115 76%
Parkland Community Health Plan $3 76%
Texas Health Network $3 76%
United $3 - $163 76%
Aetna $4 - $596 101%
American Health Plan Of Texas, Inc. $4 101%
Blue Cross Blue Shield $4 - $364 101%
Care N Care $4 101%
Devoted Health $4 101%
Humana $4 - $44 101%
Imperial Insurance Company $4 101%
Integranet $4 101%
Molina $4 101%
Mutual Of Omaha $4 101%
Procare Advantge $4 101%
Provider Partners Health Plan $4 101%
Superior Health Plan $4 - $57 101%
Texas Independent Health Plan $4 101%
Triwest Health Alliance $4 101%
Wellcare $4 101%
Wellmed $4 101%
Universal Healthcare Group $5 127%
Verda Health Plan $5 127%
Bravo Health $6 152%
Superior $7 - $9 177%
Corvel Corporation $8 203%
Usa Managed Care $8 - $656 203%
Molina Healthcare $10 253%
Oscar $10 253%
Unicare $197 - $820 4987%
Healthcare Highways $201 - $277 5089%
Evry Health $212 5367%
City Of Mckinney $369 9342%
Fidelis Securecare $369 9342%
National Choicecare $410 10380%
Pc Texas Partners $451 11418%
Physicians Coop Of Tx $451 11418%
Rockport Health Group $451 11418%
Averde Health, Inc $476 12051%
Usc Health Services $492 12456%
Coastal Comp Health Networks $574 14532%
Jostens $574 14532%
Mega Life $574 14532%
Multiplan Phcs $574 14532%
Healthsmart Preferred Care $615 15570%
Lewisville Isd/Dls Consulting $615 15570%
Galaxy Health Network $697 17646%
Independent Medical Systems $820 20759%
National Healthcare Solutions $820 20759%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals