CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Trinity Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $20
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 5.06x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Trinity Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 5.06x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $52 (1316%)
Insurance Median: $20 (506%)
Cash: $52 (1316% of Medicare)
Ins. Median: $20 (506% 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 506% of the Medicare baseline (a markup of 406%). 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
Beacon Health Options $1 - $547 25%
Evolutions Healthcare Systems $1 - $1,006 25%
Plotkin Health $1 - $547 25%
Prime Health Sheriff $1 - $547 25%
United $1 - $492 25%
Access 2 Healthcare Physicians Freedom Optimum Group Members $2 - $51 51%
Evernorth $2 - $875 51%
Multiplan $2 - $930 51%
Access 2 Healthcare Physicians Freedom Health $3 - $79 76%
Access 2 Healthcare Physicians Optimum $3 - $79 76%
Avmed $3 - $273 76%
Freedom Health Care $3 - $85 76%
Optimum Healthcare $3 - $85 76%
Aetna $4 - $328 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Baycare Health Plans $4 101%
Blue Cross Blue Shield $4 101%
Careplus $4 101%
Caresource $4 101%
Centurion $4 101%
Cigna $4 101%
Clear Spring Health $4 101%
Devoted Health $4 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Hernando-Pasco Hospice $4 101%
Humana $4 - $306 101%
Ndms Definitive Care $4 101%
Pasco Sheriff'S Office $4 101%
Secur $4 101%
Sunshine State $4 101%
Ultimate Health Plan $4 101%
United Behavioral Health $4 101%
United Va Ccn $4 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Oscar $5 127%
Simply Healthcare $5 - $168 127%
Solis Health Plan $6 152%
Molina $8 - $295 203%
Sunshine State Health Plan $11 - $279 278%
Corvel Corporation $51 1291%
Rockport Healthcare Group $51 1291%
Prime Health $52 1316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals