CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Capital Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $32
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 8.10x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Capital Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 8.10x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$144

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $144 (3646%)
Insurance Median: $32 (810%)
Cash: $144 (3646% of Medicare)
Ins. Median: $32 (810% 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 810% of the Medicare baseline (a markup of 710%). 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 - $56 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Centurion $4 101%
Cigna $4 101%
Clear Spring Health $4 101%
Florida Complete Care $4 101%
Gold Kidney Of Florida $4 101%
Humana $4 - $37 101%
Ndms Definitive Care $4 101%
Sunshine State $4 101%
United $4 - $84 101%
United Behavioral Health $4 101%
Wellcare $4 101%
Wellmed $4 101%
Gadsden County Jail $5 127%
Longevity Health Plan $5 127%
Oscar $5 127%
Physician Network Association $5 127%
Ultimate Health Plan $5 127%
Simply Healthcare $6 152%
Naphcare $7 177%
Simply $16 - $29 405%
Molina Healthcare $19 - $60 481%
Avmed $24 - $94 608%
Sunshine State Health Plan $26 - $48 658%
Corvel Corporation $46 1165%
Prime Health $47 1190%
Careworks (Rockport Community) $49 1241%
Plotkin Health $50 - $94 1266%
Prime Health Sheriff $50 - $94 1266%
Multiplan $79 - $159 2000%
Evernorth $81 - $150 2051%
Evolutions Healthcare $86 - $159 2177%
Ppo Next $86 - $159 2177%
Novanet $91 - $169 2304%
Beacon Health Options $101 - $187 2557%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals