CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Ascension St Vincent's Clay County

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $4
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Ascension St Vincent's Clay County is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.01x the Medicare baseline. Located in 1670 St Vincents Way, Middleburg, FL.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $11 (278%)
Insurance Median: $4 (101%)
Cash: $11 (278% of Medicare)
Ins. Median: $4 (101% 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.

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 $3 - $8 76%
Bc Advantage Mcr Replacement $4 101%
Blue Cross Blue Shield $4 101%
Careplus Mcr Replacement $4 101%
Cigna $4 - $11 101%
Community Hospice $4 101%
Coventry Mcr Replacement Hmo $4 101%
Haven Hospice $4 101%
Humana $4 - $10 101%
Medicare (plans) $4 101%
Research Study Encore Borland-Groover $4 101%
UnitedHealthcare $4 101%
Veterans Administration $4 101%
Wellcare $4 101%
Bright Health $5 - $6 127%
Inmate Health Care $5 127%
Oscar Health Plan $6 152%
Smarthealth $6 152%
90 Degree Benefits $7 177%
Avmed Exchange $7 177%
Employer Direct Healthcare $7 177%
Molina Exchange $7 177%
Occunet $7 - $28 177%
Ambetter / Centene $8 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1670 St Vincents Way, Middleburg, FL 32068
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals