CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Lewisgale Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $44
  • Cash Discount Price: $229
  • vs. Medicare Baseline: 11.14x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Lewisgale Medical Center is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 11.14x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$229

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $229 (5797%)
Insurance Median: $44 (1114%)
Cash: $229 (5797% of Medicare)
Ins. Median: $44 (1114% 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 1114% of the Medicare baseline (a markup of 1014%). 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
Triatlantic $3 76%
Aetna $4 101%
Align Senior Care $4 101%
Blue Cross Blue Shield $4 - $25 101%
Cigna $4 - $40 101%
Clear Spring Health Plan $4 101%
Devoted $4 101%
Evernorth Behavioral Health $4 101%
Good Samaritan Hospice $4 101%
Health Net $4 101%
Humana $4 101%
Pyramid Life $4 101%
Sentara Health $4 101%
United $4 - $103 101%
United Behavioral Health $4 101%
United Mine Workers $4 101%
Virginia Premier Health $4 101%
Greenbrier Sporting Club $6 152%
Lifeworks $44 1114%
Universal Healthcare Group $50 1266%
Virginia Health Network $80 - $163 2025%
Naphcare $114 2886%
Greenvbrier Sporting Club $137 3468%
Graham-White Manufacturing $160 4051%
Richfield Nursing Center $160 4051%
Corvel $165 4177%
Community Care Network $172 4354%
Richfield Retirement Community $172 4354%
Csx Hotels $183 4633%
Occunet Workers Comp $183 4633%
One Health Plan $183 4633%
Patients Choice $202 5114%
4Most $206 5215%
Alleghany Highland Community $206 5215%
American Postal Workers Union $206 5215%
C&O Employees Hospital Assn $206 5215%
Multiplan $206 5215%
Phcs $206 5215%
Star Transportation $206 5215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals