CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Hialeah Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $346
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Hialeah Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$346

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $346 (8759%)
Insurance Median: $5 (127%)
Cash: $346 (8759% of Medicare)
Ins. Median: $5 (127% 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 - $102 51%
Avmed Broad Network $3 76%
Humana $3 - $158 76%
Medicaid / KanCare $3 76%
Medicare (plans) $3 - $8 76%
UnitedHealthcare $3 - $4 76%
Veterans Administration Mill Bill $3 76%
Aetna $4 - $249 101%
Bristol Hospice- Miami Dade Llc $4 101%
Catholic Hospice $4 101%
Comprehensive Home Health Care Dba Opuscare Of South Florida $4 101%
Devoted Health $4 101%
Employer Direct Healthcare $4 - $5 101%
Hcr Manor Care Services Of Fl $4 101%
Healthsun Health Plans $4 101%
Hospice Other $4 101%
Leon Health Inc $4 101%
Longevity Health Plan $4 101%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $4 101%
Seasons Hospice And Pallative Care Of Southern Florida Inc $4 101%
Tricare $4 101%
Veterans Administration Vaccn $4 101%
Vitas Healthcare Hospice Corporation Of Fl $4 101%
Vitas Hospice Unit Agreement $4 101%
Bright Health Management Commercial $5 127%
Florida Pace Centers $5 127%
Imagine Health $5 127%
Naphcare Inc $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 $43 1089%
Bc/Bs Of Fl Health Options Hmo $46 1165%
Bc/Bs Of Fl Simplyblue $46 1165%
Bc/Bs Of Fl Network Blue $50 1266%
Bc/Bs Of Fl Ppo $50 1266%
Bc/Bs Of Fl Blue Select Exchange Non Par $53 1342%
Bc/Bs Of Fl Miami Dade Blue Select $53 1342%
Bc/Bs Of Fl Phs $179 4532%
Dimensions International $225 5696%
First Health $235 5949%
Dimension Health Ppo $259 6557%
Commercial Non-Contracted $346 8759%
Self Pay - Mcd Pending 100 Percent $346 8759%
Single Case Agreement $346 8759%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals