CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Citrus Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $47
  • Cash Discount Price: $996
  • vs. Medicare Baseline: 11.90x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Citrus Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $996. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 11.90x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$996

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $996 (25215%)
Insurance Median: $47 (1190%)
Cash: $996 (25215% of Medicare)
Ins. Median: $47 (1190% 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 1190% of the Medicare baseline (a markup of 1090%). 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 $4 - $299 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Caresource $4 101%
Centurion $4 101%
Cigna $4 101%
Clear Spring Health $4 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Hernando-Pasco Hospice $4 101%
Humana $4 - $279 101%
Ndms Definitive Care $4 101%
Secur $4 101%
Sunshine State $4 101%
Ultimate Health Plan $4 101%
United $4 - $448 101%
United Behavioral Health $4 101%
United Va Ccn $4 101%
Wellcare $4 101%
Wellmed $4 101%
Oscar $5 127%
Simply Healthcare $5 127%
Access 2 Healthcare Physicians Freedom Optimum Group Members $47 1190%
Corvel Corporation $47 1190%
Rockport Healthcare Group $47 1190%
Prime Health $48 1215%
Access 2 Healthcare Physicians Freedom Health $60 1519%
Access 2 Healthcare Physicians Optimum $60 1519%
Freedom Health Care $65 1646%
Optimum Healthcare $65 1646%
Avmed $80 - $249 2025%
Molina $189 - $269 4785%
Evolutions Healthcare Systems $229 - $916 5797%
Sunshine State Health Plan $254 6430%
Beacon Health Options $498 12608%
Plotkin Health $498 12608%
Prime Health Sheriff $498 12608%
Multiplan $747 - $846 18911%
Evernorth $796 20152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals