CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Shands Jacksonville

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $8
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Shands Jacksonville is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.03x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$16

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: $16 (405%)
Insurance Median: $8 (203%)
Cash: $16 (405% 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
Aetna $3 - $38 76%
Amerihealth Caritas Florida $3 76%
Carelon Health $3 76%
Community Care Plan $3 76%
Florida Community Care $3 76%
Humana $3 - $39 76%
Molina $3 - $5 76%
Simply Healthcare $3 76%
Ameri-Plus Preferred Care $4 101%
Avmed $4 - $26 101%
Beacon Health Strategies $4 101%
Blue Cross Blue Shield $4 - $27 101%
Capital Health Plan $4 - $23 101%
Careplus Health Plan $4 101%
Devoted Health Plan $4 101%
Florida Health Care Plan $4 - $7 101%
Positive Healthcare Partners $4 101%
UnitedHealthcare $4 - $19 101%
Florida Complete Care $5 127%
North Florida Evaluation & Treatment Center $5 - $22 127%
Northeast Florida State Hospital $5 - $20 127%
Volusia Health Network $5 - $19 127%
Wellcare Of Florida $5 127%
Centivo $6 - $25 152%
Disney Cruise Line $6 - $27 152%
Ambetter / Centene $7 177%
Cigna $7 - $28 177%
Health First Health Plan $7 - $32 177%
Mental Health Associates $7 - $30 177%
Wellpath $7 177%
Archbold Medical Center $8 - $34 203%
Florida Health Alliance $8 - $33 203%
Genex $8 - $34 203%
Prime Health Services $8 - $34 203%
Rockport Provider $8 - $34 203%
Corvel Corp $9 - $39 228%
First Health $9 - $39 228%
Florida Hospital Healthcare System $9 - $39 228%
Medsave Usa Tpa $9 - $39 228%
Fringe Benefits Coordinators $10 - $43 253%
Multiplan $10 - $41 253%
Novanet $10 - $41 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals