CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Lake City Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $9
  • Cash Discount Price: $136
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Lake City Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.28x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$136

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $136 (3443%)
Insurance Median: $9 (228%)
Cash: $136 (3443% of Medicare)
Ins. Median: $9 (228% 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 228% of the Medicare baseline (a markup of 128%). 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
Avmed $2 - $127 51%
Simply $3 - $39 76%
Aetna $4 - $76 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Centurion $4 101%
Cigna $4 101%
Clear Spring Health $4 101%
Evolutions $4 - $216 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Hospice Of North Central Fl $4 101%
Humana $4 - $51 101%
Ndms Definitive Care $4 101%
Sunshine State $4 101%
United $4 - $115 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Oscar $5 127%
Simply Healthcare $5 127%
Sunshine State Health Plan $5 - $65 127%
Ultimate Health Plan $5 127%
Molina Healthcare $6 - $81 152%
Plotkin Health $9 - $127 228%
Prime Health Sheriff $9 - $127 228%
Hamilton County Jail $10 - $137 253%
Multiplan $14 - $216 354%
Novanet $16 - $229 405%
Ppo Next $16 - $216 405%
Corvel Corporation $47 1190%
Prime Health $48 1215%
Careworks (Rockport Community) $49 1241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals