CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida West Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $43
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 10.89x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida West Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 10.89x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$219

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $219 (5544%)
Insurance Median: $43 (1089%)
Cash: $219 (5544% of Medicare)
Ins. Median: $43 (1089% 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 1089% of the Medicare baseline (a markup of 989%). 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 $1 - $141 25%
Molina Healthcare $1 - $150 25%
Avmed $2 - $235 51%
Evolutions Healthcare $2 - $400 51%
Plotkin Health $2 - $235 51%
Prime Health Sheriff $2 - $235 51%
United $2 - $212 51%
Evernorth $3 - $376 76%
Multiplan $3 - $400 76%
Novanet $3 - $423 76%
Ppo Next $3 - $400 76%
Align Senior Care $4 101%
American Health Plan $4 101%
Beacon Health Options $4 - $470 101%
Blue Cross Blue Shield $4 101%
Centurion $4 101%
Clear Spring Health $4 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Healthspring Of Florida $4 101%
Humana $4 - $94 101%
Ndms Definitive Care $4 101%
Oscar $4 101%
Sunshine State $4 101%
Triwest Healthcare Alliance $4 101%
United Behavioral Health $4 101%
Value Options $4 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Ultimate Health Plan $5 127%
Simply Healthcare $6 152%
Naphcare $8 - $9 203%
Seven Corners $8 - $9 203%
Freedom Health $28 - $60 709%
Simply $34 - $72 861%
Corvel Corporation $48 1215%
Prime Health $49 1241%
Careworks (Rockport Community) $51 1291%
Sunshine State Health Plan $56 - $120 1418%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals