CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Northside Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $41
  • Cash Discount Price: $881
  • vs. Medicare Baseline: 10.38x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Northside Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $881. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 10.38x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.
Cash / Self-Pay
$881

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $881 (22304%)
Insurance Median: $41 (1038%)
Cash: $881 (22304% of Medicare)
Ins. Median: $41 (1038% 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 1038% of the Medicare baseline (a markup of 938%). 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 - $264 101%
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%
Humana $4 - $247 101%
Ndms Definitive Care $4 101%
Secur $4 101%
Sunshine State $4 101%
Ultimate Health Plan $4 101%
United $4 - $396 101%
United Va Ccn $4 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Oscar $5 127%
Simply Healthcare $5 - $136 127%
Solis Health Plan $6 152%
Access 2 Healthcare Physicians Freedom Optimum Group Members $41 1038%
Corvel Corporation $51 1291%
Rockport Healthcare Group $51 1291%
Prime Health $52 1316%
Access 2 Healthcare Physicians Freedom Health $63 1595%
Access 2 Healthcare Physicians Optimum $63 1595%
Freedom Health Care $69 1747%
Optimum Healthcare $69 1747%
Avmed $70 - $220 1772%
Suncoast Neighborly Care $70 1772%
Molina $167 - $238 4228%
Evolutions Healthcare Systems $203 - $811 5139%
Sunshine State Health Plan $225 5696%
Plotkin Health $441 11165%
Prime Health Sheriff $441 11165%
Multiplan $661 - $749 16734%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6000 49Th St N, Saint Petersburg, FL 33709
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals