CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Marion Communtiy Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $8
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Marion Communtiy Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 2.03x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $247 (6253%)
Insurance Median: $8 (203%)
Cash: $247 (6253% of Medicare)
Ins. Median: $8 (203% 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 203% of the Medicare baseline (a markup of 103%). 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 - $138 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Avmed $4 - $129 101%
Blue Cross Blue Shield $4 101%
Careplus $4 101%
Centurion $4 101%
Cigna $4 101%
Clear Spring Health $4 101%
Devoted Health $4 101%
Florida Complete Care $4 101%
Freedom Optimum $4 101%
Gold Kidney Of Florida $4 101%
Humana $4 - $92 101%
Ndms Definitive Care $4 101%
Secur $4 101%
Sunshine State $4 101%
United $4 - $207 101%
Va Purchased Care Program $4 101%
Veterans Evaluation Services $4 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Simply $5 - $71 127%
Simply Healthcare $5 127%
Ultimate Health Plan $5 127%
Molina Healthcare $6 - $147 152%
Evolutions $8 - $106 203%
Evolutions Healthcare $8 - $106 203%
Naphcare $8 - $9 203%
University Ma Federal Corrections $8 203%
Wellpath $8 - $9 203%
Sunshine State Health Plan $9 - $117 228%
Plotkin Health $17 - $229 430%
Prime Health Sheriff $17 - $229 430%
Multiplan $27 - $358 684%
Ppo Next $29 - $390 734%
Novanet $31 - $413 785%
Corvel Corporation $48 1215%
Prime Health $49 1241%
Careworks (Rockport Community) $50 1266%
Marion County Schools $50 1266%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals