CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Raulerson Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $42
  • Cash Discount Price: $491
  • vs. Medicare Baseline: 10.63x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Raulerson Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $491. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 10.63x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$491

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $491 (12430%)
Insurance Median: $42 (1063%)
Cash: $491 (12430% of Medicare)
Ins. Median: $42 (1063% 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 1063% of the Medicare baseline (a markup of 963%). 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 - $147 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Careplus $4 101%
Centurion $4 101%
Cigna $4 101%
Devoted Health $4 101%
Florida Complete Care $4 101%
Humana $4 - $196 101%
Ndms Definitive Care $4 101%
Prominence Healthfirst $4 101%
Sunshine State $4 101%
Ultimate Health Plan $4 101%
United $4 - $221 101%
Veterans Evaluation Services $4 101%
Wellmed $4 101%
Amerihealth Caritas $5 127%
Longevity Health Plan $5 127%
Solis Health Plan $6 152%
Oscar $8 203%
Simply Healthcare $9 228%
Freedom Health $42 - $79 1063%
Optimum $42 1063%
Corvel Corporation $47 1190%
Careworks (Rockport) $48 1215%
Prime Health $48 1215%
Avmed $64 - $246 1620%
Simply Healthcare Plans $64 1620%
Molina $93 - $133 2354%
Health Sun Health Plan $105 2658%
Sunshine State Health Plan $125 3165%
United Ppo $216 5468%
Plotkin Health $246 6228%
Prime Health Sherriff $246 6228%
Multiplan $368 - $417 9316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals