CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Central Florida Lake Monroe Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 1401 W Seminole Blvd, Sanford, FL.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $80 (2025%)
Insurance Median: $4 (101%)
Cash: $80 (2025% of Medicare)
Ins. Median: $4 (101% 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
Avmed $1 - $79 25%
Florida Health Care Plan $1 - $59 25%
Plotkin Health $1 - $79 25%
Prime Health Sheriff $1 - $79 25%
United $1 - $71 25%
Multiplan $2 - $134 51%
Novanet $2 - $142 51%
Ppo Next $2 - $134 51%
Three Rivers Provider Network $2 - $118 51%
Aetna $4 - $47 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Careplus $4 101%
Centurion $4 101%
Cigna $4 101%
Clear Spring Health $4 101%
Devoted Health $4 101%
Fl Health Care Plan $4 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Humana $4 - $32 101%
Ndms Definitive Care $4 101%
Seminole County Sheriffs Office $4 101%
Sunshine State $4 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Ultimate Health Plan $5 127%
Oscar $6 152%
Simply Healthcare $6 152%
Solis Health Plan $6 152%
Freedom Health $11 278%
Optimum $11 278%
Simply $24 608%
Molina Healthcare $30 - $50 759%
Evolutions $36 911%
Sunshine State Health Plan $40 1013%
Corvel Corporation $50 1266%
Prime Health $51 1291%
Careworks (Rockport Community) $53 1342%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals