CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida North Florida Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $9
  • Cash Discount Price: $522
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida North Florida Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $522. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.28x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$522

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: $522 (13215%)
Insurance Median: $9 (228%)
Cash: $522 (13215% 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 - $513 51%
Simply $3 - $158 76%
United $3 - $462 76%
Aetna $4 - $308 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Capital Health Plan $4 101%
Centurion $4 101%
Cigna $4 101%
Clear Spring Health $4 101%
Evolutions $4 - $236 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Hospice Of North Central Fl $4 101%
Humana $4 - $205 101%
Molina Healthcare $4 - $328 101%
Ndms Definitive Care $4 101%
Sunshine State $4 101%
United Behavioral Health $4 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Oscar $5 127%
Simply Healthcare $5 127%
Sunshine State Health Plan $5 - $262 127%
Ultimate Health Plan $5 127%
Plotkin Health $9 - $513 228%
Prime Health Sheriff $9 - $513 228%
Corizon Phs $11 - $615 278%
Evernorth $15 - $821 380%
Multiplan $15 - $872 380%
Evolutions Healthcare $16 - $872 405%
Ppo Next $16 - $872 405%
Novanet $17 - $923 430%
Beacon Health Options $19 - $1,026 481%
Corvel Corporation $53 1342%
Prime Health $54 1367%
Careworks (Rockport Community) $56 1418%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals