CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Mercy Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $36
  • Cash Discount Price: $417
  • vs. Medicare Baseline: 9.11x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Mercy Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $417. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 9.11x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.
Cash / Self-Pay
$417

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $417 (10557%)
Insurance Median: $36 (911%)
Cash: $417 (10557% of Medicare)
Ins. Median: $36 (911% 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 911% of the Medicare baseline (a markup of 811%). 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 - $125 101%
Align $4 101%
American Health Plan $4 101%
Avmed $4 - $208 101%
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 - $142 101%
Kindred Hospice $4 101%
Leon Health $4 101%
Ndms Definitive Care $4 101%
Oscar $4 - $6 101%
Prominence Healthfirst $4 101%
Sunshine State $4 101%
United $4 - $188 101%
United Behavioral Health $4 101%
Veterans Evaluation Services $4 101%
Wellmed $4 101%
Amerihealth Caritas $5 - $6 127%
Longevity Health Plan $5 127%
Solis Health Plan $6 152%
Freedom Health $36 - $67 911%
Optimum $36 911%
Corvel Corporation $54 1367%
Simply Healthcare Plans $54 1367%
Careworks (Rockport) $56 1418%
Prime Health $56 1418%
Molina $79 - $113 2000%
Health Sun Health Plan $89 2253%
Aids Healthcare $92 - $500 2329%
Mmm Of Fl (Health Advantage Plan) $96 2430%
United Ppo $99 2506%
Sunshine State Health Plan $108 2734%
Plotkin Health $208 5266%
Prime Health Sherriff $208 5266%
Medica Healthcare $246 6228%
Multiplan $313 - $354 7924%
Evernorth Bh $334 8456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Nw 42Nd Ave, Plantation, FL 33317
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals