CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Englewood Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $52
  • Cash Discount Price: $989
  • vs. Medicare Baseline: 13.16x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Englewood Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $989. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 13.16x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.
Cash / Self-Pay
$989

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $989 (25038%)
Insurance Median: $52 (1316%)
Cash: $989 (25038% of Medicare)
Ins. Median: $52 (1316% 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 1316% of the Medicare baseline (a markup of 1216%). 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 - $297 101%
Align Senior Care $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Caresource $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 - $277 101%
Ndms Definitive Care $4 101%
Secur $4 101%
Sunshine State $4 101%
Ultimate Health Plan $4 101%
United $4 - $445 101%
United Va Ccn $4 101%
Wellcare $4 101%
Wellmed $4 101%
Oscar $6 152%
Simply Healthcare $6 - $152 152%
Access 2 Healthcare Physicians Freedom Optimum Group Members $46 1165%
Corvel Corporation $51 1291%
Rockport Healthcare Group $51 1291%
Prime Health $52 1316%
Access 2 Healthcare Physicians Freedom Health $71 1797%
Access 2 Healthcare Physicians Optimum $71 1797%
Freedom Health Care $77 1949%
Optimum Healthcare $77 1949%
Avmed $79 - $247 2000%
Molina $188 - $267 4759%
Evolutions Healthcare Systems $228 - $910 5772%
Sunshine State Health Plan $252 6380%
Behealthy America $386 9772%
Healthcare Sarasota $495 12532%
Plotkin Health $495 12532%
Prime Health Sheriff $495 12532%
Multiplan $742 - $841 18785%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Medical Blvd, Englewood, FL 34223
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals