CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $50
  • Cash Discount Price: $783
  • vs. Medicare Baseline: 12.66x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Twin Cities Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $783. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 12.66x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$783

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $783 (19823%)
Insurance Median: $50 (1266%)
Cash: $783 (19823% of Medicare)
Ins. Median: $50 (1266% 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 1266% of the Medicare baseline (a markup of 1166%). 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 - $235 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Centurion $4 101%
Clear Spring Health $4 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Healthspring Of Florida $4 101%
Humana $4 - $298 101%
Ndms Definitive Care $4 101%
Regency Hospice $4 101%
Sunshine State $4 101%
United $4 - $352 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Oscar $5 127%
Ultimate Health Plan $5 127%
Simply Healthcare $6 152%
Corvel Corporation $50 1266%
Prime Health $52 1316%
Careworks (Rockport Community) $53 1342%
Simply $121 3063%
Molina Healthcare $149 - $251 3772%
Avmed $188 - $392 4759%
Sunshine State Health Plan $200 5063%
Plotkin Health $392 9924%
Prime Health Sheriff $392 9924%
Evolutions Healthcare $509 - $666 12886%
Multiplan $611 - $666 15468%
Ppo Next $666 16861%
Novanet $705 17848%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals