CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: North Shore Medical Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $6
  • Cash Discount Price: $312
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at North Shore Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$312

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $312 (7899%)
Insurance Median: $6 (152%)
Cash: $312 (7899% of Medicare)
Ins. Median: $6 (152% 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.

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
Cigna $2 - $156 51%
Avmed Broad Network $3 76%
Humana $3 - $124 76%
Medicaid / KanCare $3 - $312 76%
Medicare (plans) $3 - $312 76%
UnitedHealthcare $3 - $4 76%
Veterans Administration Mill Bill $3 76%
Aetna $4 - $224 101%
Devoted Health $4 101%
Employer Direct Healthcare $4 - $5 101%
Healthsun Health Plans $4 101%
Hospice Other $4 101%
Leon Health Inc $4 101%
Longevity Health Plan $4 101%
Tricare $4 101%
Veterans Administration Vaccn $4 101%
Bright Health Management Commercial $5 127%
Centurion Prison $5 127%
Florida Pace Centers $5 127%
Imagine Health $5 127%
Oscar Health Plan Hix $5 127%
Self Pay/Uninsured $5 127%
Ambetter / Centene $7 177%
Avmed Exchange $7 177%
Amerihealth Caritas Next Exchange $8 203%
Auto Insurance $8 203%
Avmed Select Network $8 203%
Dimension Health Wc $8 203%
Molina Marketplace Program Exchange $8 203%
Workers Compensation $8 203%
Bc/Bs Myblue Hmo Hix $39 987%
Bc/Bs Of Fl Network Blue $41 1038%
Bc/Bs Of Fl Ppo $41 1038%
Bc/Bs Of Fl Simplyblue $41 1038%
Bc/Bs Of Fl Blue Select Exchange Non Par $45 1139%
Bc/Bs Of Fl Health Options Hmo $45 1139%
Bc/Bs Of Fl Phs $162 4101%
Magellan Behavioral Health $187 4734%
Dimensions International $203 5139%
First Health $212 5367%
Dimension Health Ppo $234 5924%
Beacon Health Strategies Commercial $312 7899%
Commercial Non-Contracted $312 7899%
Self Pay - Mcd Pending 100 Percent $312 7899%
Single Case Agreement $312 7899%
United Behavioral Health Psych $312 7899%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals