CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Halifax Health Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $38
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 9.62x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Halifax Health Medical Center is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 9.62x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $60 (1519%)
Insurance Median: $38 (962%)
Cash: $60 (1519% of Medicare)
Ins. Median: $38 (962% 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 962% of the Medicare baseline (a markup of 862%). 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 - $75 76%
Caresource Network $3 76%
Coventry $3 - $47 76%
Hcra $3 76%
Humana $3 76%
Independent Living Systems $3 - $38 76%
Medicaid / KanCare $3 76%
Molina $3 76%
Simply Healthcare Plans $3 76%
Sunshine State Health Plan $3 - $26 76%
UnitedHealthcare $3 - $45 76%
West Volusia $3 76%
Employers Health Network $6 152%
Fhcp $8 203%
Florida Healthcare $9 228%
Embs $21 - $64 532%
Florida Healthcare - Hecn $26 658%
Blue Cross Blue Shield $29 - $33 734%
Avmed $34 - $38 861%
A&G Admin $38 962%
Centivo $38 962%
County Of Volusia Corrections $38 962%
Volusia County Employee $38 962%
Claimdoc $45 1139%
Devoted Health $45 1139%
Division Of The Blind $45 1139%
Oscar $45 1139%
Prime Health Services $45 1139%
Volusia $45 - $52 1139%
Sim Plan Pay $49 1241%
Hrgi $52 1316%
Plotkin Consulting $52 1316%
Evolutions International $56 1418%
Summit America $60 1519%
Americas Choice Provider Network $68 - $75 1722%
Integrated Health Plan $68 1722%
Multiplan $68 1722%
Three Rivers $71 1797%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals