CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Larkin Community Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $27
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 6.84x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Larkin Community Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 6.84x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $42 (1063%)
Insurance Median: $27 (684%)
Cash: $42 (1063% of Medicare)
Ins. Median: $27 (684% 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 684% of the Medicare baseline (a markup of 584%). 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
Corvel Mcaid Workers Comp $2 51%
Fdc-All Plans $2 - $3 51%
Medicaid / KanCare $2 - $3 51%
Sunshine Behavioral $2 51%
Aetna $3 - $74 76%
Ambetter / Centene $3 76%
Community Care Phks Mcaid-All Other Plans $3 76%
Florida Comm Care Mcaid $3 76%
Humana $3 - $74 76%
Molina Exch Marketplace-All Other Plans $3 76%
UnitedHealthcare $3 - $5 76%
Blue Cross Blue Shield $4 - $172 101%
Clear Springs Hlth-All Plans $4 101%
Florida Comm Care Mcare-All Other Plans $4 101%
Medicare (plans) $4 - $78 101%
Ops Maritime-All Plans $4 101%
Opus Hospice Ip Only-All Plans $4 101%
Preferred Care Partners Mcare-All Plans $4 101%
Unicare Simply Mcare Ppo-All Plans $4 101%
Wellpath-All Plans $4 101%
Allianz (Azga)-All Plans $5 127%
Fci-All Plans $5 127%
Cigna $12 - $18 304%
Healthsun-All Plans $14 - $22 354%
Star Network-All Plans $19 - $30 481%
Jmh Health Plan Hmo/Ppo-All Other Plans $26 - $41 658%
Global Excel-All Plans $28 - $44 709%
Haa Preferred Partners-All Plans $28 - $44 709%
Corvel Mcare Workers Comp-All Plans $42 - $67 1063%
Magellan Complete Care $42 - $67 1063%
Avmed-All Plans $47 - $74 1190%
Careplus Health-All Other Plans $47 - $74 1190%
Centurion-All Plans $47 - $74 1190%
Coventry Comml-All Plans $47 - $74 1190%
Doctors Healthcare-All Plans $47 - $74 1190%
First Med Hp Of Fl-All Plans $47 - $74 1190%
Florida Health Solution/Hmo-All Plans $47 - $74 1190%
Bright Health-All Other Plans $56 - $89 1418%
Oscar Health-All Plans $94 - $148 2380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals