CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Lewisgale Hospital Pulaski

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $33
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 8.35x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Lewisgale Hospital Pulaski is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 8.35x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $252 (6380%)
Insurance Median: $33 (835%)
Cash: $252 (6380% of Medicare)
Ins. Median: $33 (835% 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 835% of the Medicare baseline (a markup of 735%). 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
Humana $3 - $4 76%
Triatlantic $3 76%
Aetna $4 - $113 101%
Align Senior Care $4 101%
Blue Cross Blue Shield $4 - $19 101%
Cigna $4 101%
Clear Spring Health Plan $4 101%
Devoted $4 101%
Evernorth Behavioral Health $4 101%
Good Samaritan Hospice $4 101%
Health Net $4 101%
Magellan $4 101%
Pyramid Life $4 101%
Sentara Health $4 101%
United $4 - $113 101%
United Mine Workers $4 101%
Virginia Premier Health $4 101%
Lifeworks $48 1215%
Universal Healthcare Group $55 1392%
Virginia Health Network $88 - $179 2228%
Greenvbrier Sporting Club $151 3823%
Corvel $181 4582%
Richfield Nursing Center $189 4785%
Richfield Retirement Community $189 4785%
Multiplan $194 4911%
Community Care Network $202 5114%
Graham-White Manufacturing $202 5114%
Occunet Workers Comp $202 5114%
One Health Plan $202 5114%
Patients Choice $222 5620%
4Most $227 5747%
American Postal Workers Union $227 5747%
Phcs $227 5747%
Star Transportation $227 5747%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Lee Highway, Pulaski, VA 24301
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals