CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $46
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 11.65x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Larkin Community Hospital Palm Springs Campus is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 11.65x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $42 (1063%)
Insurance Median: $46 (1165%)
Cash: $42 (1063% of Medicare)
Ins. Median: $46 (1165% 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 1165% of the Medicare baseline (a markup of 1065%). 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 - $4 76%
Florida Community Care Mcaid-All Plans $3 76%
Miami Childrens Hp Mcaid-All Plans $3 76%
Simply Healthcare Mcaid $3 76%
Sunshine Mcaid $3 76%
United Mcaid $3 76%
Wellcare Mcaid $3 76%
Ambetter / Centene $4 101%
Blue Cross Blue Shield $4 - $172 101%
Clear Springs Health - All Plans $4 101%
Fdc - All Plans $4 101%
Medicare (plans) $4 - $73 101%
Opus Hospice Ip Only - All Plans $4 101%
Unicare Simply Mcare Ppo - All Plans $4 101%
Bright Health Commercial - All Other Plans $5 127%
Ccs - All Plans $5 127%
Cigna $12 - $18 304%
Humana $14 - $73 354%
Wellcare Comm (Choice) - All Other Plans $23 - $36 582%
Leon Med Center Mcr Adv - All Plans $41 - $66 1038%
Careplus Health - All Other Plans $46 - $73 1165%
Centurion Doc - All Plans $46 - $73 1165%
Doctors Healthcare - All Plans $46 - $73 1165%
Florida Health Solution/Hmo - All Plans $46 - $73 1165%
Preferred Care Partners Mcr - All Plans $46 - $73 1165%
Simply Healthcare Mcr - All Other Plans $46 - $73 1165%
UnitedHealthcare $46 - $73 1165%
Naphcare - All Plans $53 - $84 1342%
Oscar Health-All Plans $92 - $146 2329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals