CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: HCA Florida Palms West Hospital

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $14
  • Cash Discount Price: $419
  • vs. Medicare Baseline: 3.54x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at HCA Florida Palms West Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $419. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.54x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$419

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $419 (10608%)
Insurance Median: $14 (354%)
Cash: $419 (10608% of Medicare)
Ins. Median: $14 (354% 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 354% of the Medicare baseline (a markup of 254%). 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 - $235 101%
Align $4 101%
American Health Plan $4 101%
Blue Cross Blue Shield $4 101%
Careplus Sfl $4 101%
Centurion $4 101%
Cigna $4 101%
Devoted Health $4 101%
Doctors Healthcare Plan $4 101%
Florida Complete Care $4 101%
Gold Kidney $4 101%
Humana $4 - $266 101%
Ndms Definitive Care $4 101%
Oscar $4 - $6 101%
Prominence Healthfirst $4 101%
Sunshine State $4 101%
United $4 - $352 101%
Veterans Evaluation Services $4 101%
Wellmed $4 101%
Amerihealth Caritas $5 - $6 127%
Freedom Health $5 - $125 127%
Longevity Health Plan $5 127%
Optimum $5 - $67 127%
Simply Healthcare $5 127%
Solis Health Plan $6 152%
Avmed $7 - $391 177%
Simply Healthcare Plans $7 - $102 177%
Molina $10 - $211 253%
Aids Healthcare $12 - $938 304%
Health Sun Health Plan $12 - $167 304%
Mmm Of Fl (Health Advantage Plan) $13 - $180 329%
United Ppo $13 - $185 329%
Sunshine State Health Plan $14 - $203 354%
Health Care District $28 - $391 709%
Palm Beach Juvenile Correction $28 - $391 709%
Plotkin Health $28 - $391 709%
Prime Health Sherriff $28 - $391 709%
Medica Healthcare $32 - $454 810%
Multiplan $41 - $665 1038%
Corvel Corporation $52 1316%
Careworks (Rockport) $54 1367%
Prime Health $54 1367%
Healthy Palm Beaches $550 13924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals