CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Jfk Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $28
  • Cash Discount Price: $261
  • vs. Medicare Baseline: 7.09x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Jfk Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 7.09x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$261

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $261 (6608%)
Insurance Median: $28 (709%)
Cash: $261 (6608% of Medicare)
Ins. Median: $28 (709% 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 709% of the Medicare baseline (a markup of 609%). 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.

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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 - $78 101%
Align $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Careplus Sfl $4 101%
Centurion $4 101%
Cigna $4 101%
Devoted Health $4 101%
Doctors Healthcare Plan $4 101%
Florida Complete Care $4 101%
Gold Kidney $4 101%
Humana $4 - $89 101%
Ndms Definitive Care $4 101%
Oscar $4 - $6 101%
Palm Beach Pace $4 101%
Prominence Healthfirst $4 101%
Sunshine State $4 101%
United $4 - $117 101%
United Behavioral Health $4 101%
Veterans Evaluation Services $4 101%
Wellmed $4 101%
Amerihealth Caritas $5 - $6 127%
Longevity Health Plan $5 127%
Simply Healthcare $5 127%
Solis Health Plan $6 152%
Freedom Health $22 - $42 557%
Optimum $22 557%
Avmed $34 - $130 861%
Simply Healthcare Plans $34 861%
Molina $44 - $70 1114%
Corvel Corporation $52 1316%
Careworks (Rockport) $54 1367%
Prime Health $54 1367%
Health Sun Health Plan $56 1418%
Aids Healthcare $57 - $313 1443%
Mmm Of Fl (Health Advantage Plan) $60 1519%
United Ppo $62 1570%
Sunshine State Health Plan $68 1722%
Blis $91 2304%
District Cares $130 3291%
Plotkin Health $130 3291%
Prime Health Sherriff $130 3291%
Medica Healthcare $154 3899%
Multiplan $196 - $222 4962%
Evernorth Bh $209 5291%
Healthy Palm Beaches $550 13924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals