CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Memorial Hospital Miramar

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $12
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 3.04x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Memorial Hospital Miramar is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 3.04x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $13 (329%)
Insurance Median: $12 (304%)
Cash: $13 (329% of Medicare)
Ins. Median: $12 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
Amerihealth Caritas $1 - $50 25%
Avmed $1 - $96 25%
Cigna $1 - $86 25%
Community Care Plan $1 - $53 25%
Molina $1 - $56 25%
Aetna $2 - $124 51%
Employers Health Network $3 - $100 76%
Sunshine $3 - $131 76%
Florida Community Care $4 101%
Health Sun $4 - $234 101%
Humana $4 101%
Solis Health Plan $4 101%
Wellcare $4 101%
Align Senior Care $5 127%
Allianz $5 - $203 127%
Axis $5 - $203 127%
Desjardins Financial Security Life Assurance Company $5 - $203 127%
Dimension Health $5 - $211 127%
Emerging Therapy Solutions $5 - $187 127%
Florida Pace Centers $5 127%
Global Health Claims $5 - $265 127%
Global Medical Management $5 - $203 127%
Global Reach Health $5 - $203 127%
Longevity $5 127%
National Healthcare Solutions $5 - $203 127%
Plotkin $5 - $203 127%
Quality Health Management $5 - $203 127%
Quebec Inc $5 - $203 127%
Star Healthcare Network $5 - $203 127%
UnitedHealthcare $5 - $46 127%
World Medical Care $5 - $203 127%
Worldwide Managed Care Partners $5 - $203 127%
Worldwide Medical Assurance $5 - $203 127%
Gallagher Bassett $6 - $250 152%
Prime Health Services $44 1114%
Corvel $55 1392%
Employers Choice Network $55 1392%
First Health $55 1392%
Broward County $718 - $2,726 18177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals