CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $84
  • Cash Discount Price: $361
  • vs. Medicare Baseline: 21.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Gulf Coast Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 21.27x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$361

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $361 (9139%)
Insurance Median: $84 (2127%)
Cash: $361 (9139% of Medicare)
Ins. Median: $84 (2127% 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 2127% of the Medicare baseline (a markup of 2027%). 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 - $112 101%
Align Senior Care $4 101%
American Health Plan $4 101%
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%
Hospice Big Bend $4 101%
Humana $4 - $142 101%
Ndms Definitive Care $4 101%
Sunshine State $4 101%
Triwest Healthcare Alliance $4 101%
United $4 - $168 101%
Veterans Evaluation Services $4 101%
Wellcare $4 101%
Wellmed $4 101%
Longevity Health Plan $5 127%
Oscar $5 127%
Ultimate Health Plan $5 127%
Simply Healthcare $6 152%
Corvel Corporation $47 1190%
Prime Health $47 1190%
Careworks (Rockport Community) $49 1241%
Simply $54 - $58 1367%
Molina Healthcare $66 - $120 1671%
Avmed $84 - $187 2127%
Sunshine State Health Plan $89 - $95 2253%
Plotkin Health $174 - $187 4405%
Prime Health Sheriff $174 - $187 4405%
Multiplan $272 - $318 6886%
Ppo Next $296 - $318 7494%
Novanet $314 - $337 7949%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals