CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: University of Miami Hospital and Clinics

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $11
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at University of Miami Hospital and Clinics is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.78x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $16 (405%)
Insurance Median: $11 (278%)
Cash: $16 (405% of Medicare)
Ins. Median: $11 (278% 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 278% of the Medicare baseline (a markup of 178%). 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 - $59 101%
Amerihealth Caritas Fl $4 - $30 101%
Blue Cross Blue Shield $4 - $370 101%
Careplus $4 - $27 101%
Humana $4 101%
Molina Healthcare Of Fl $4 - $29 101%
Oscar Health Of Fl $4 - $30 101%
Solis Health $4 101%
Sunshine Health $4 - $27 101%
UnitedHealthcare $4 - $17 101%
Cigna $5 - $47 127%
Curative $7 - $57 177%
Avmed $8 - $70 203%
Employers Health Network $8 - $64 203%
Simply Healthcare $8 - $64 203%
First Health $9 - $70 228%
Health First New York Health Insurance $9 - $70 228%
Broward Health $10 - $75 253%
Beech Street $11 - $86 278%
Dimension Health $11 - $86 278%
Multiplan $11 - $86 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 Nw 12Th Ave Suite 2175, Miami, FL 33136
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL