CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: John Muir Medical Center - Walnut Creek Campus

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $184
  • Cash Discount Price: $371
  • vs. Medicare Baseline: 13.50x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at John Muir Medical Center - Walnut Creek Campus is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 13.50x the Medicare baseline. Located in 1601 Ygnacio Valley Rd, Walnut Creek, CA.
Cash / Self-Pay
$371

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13.63

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.63 (100%)
Cash / Self-Pay: $371 (2722%)
Insurance Median: $184 (1350%)
Cash: $371 (2722% of Medicare)
Ins. Median: $184 (1350% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.63 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 1350% of the Medicare baseline (a markup of 1250%). 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
Contra Costa County Jail [1012104] $12 88%
Health Net-Network Mcare [1028127] $13 95%
Aetna $14 - $596 103%
Alignment Health [1177113] $14 103%
Blue Cross Blue Shield $14 - $536 103%
Blue Shield-Network Mcare [1006127] $14 103%
Care 1St Health Plan [1094113] $14 103%
Caremore [1171113] $14 103%
Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] $14 103%
Easy Choice Health Plan [1083113] $14 103%
Essence Healthcare [1049028] $14 103%
Essence Healthcare [1049128] $14 103%
Golden State-Network Mcare [1023127] $14 103%
Hospice Of East Bay [1085104] $14 103%
Humana $14 - $684 103%
Medicare (plans) $14 - $660 103%
Scan-Network Mcare [1043127] $14 103%
UnitedHealthcare $14 - $482 103%
Veterans Administration [1051113] $14 103%
Jmpn Canopy Hn [1640000011] $16 117%
Generic Commercial/Indemnity [1017001] $17 - $330 125%
Generic Hmo [1018103] $17 125%
Generic Ppo [1021104] $17 125%
Canopy Hn Hmo [1166103] $25 183%
Brms [1091104] $184 1350%
Delta Health Systems [1032104] $184 1350%
Empire Plan [1092104] $184 1350%
Healthcomp [1089104] $184 - $701 1350%
Carecentrix [1011001] $330 2421%
Aps Healthcare [1003103] $371 2722%
United Behavioral Health [1048103] $415 3045%
Cigna $419 - $590 3074%
Carelon Behavioral Health [1050104] $454 3331%
Fortified Provider Network [1063104] $454 3331%
Medigap [1036001] $454 3331%
Three Rivers Provider Network [1073104] $454 3331%
Health Net Hmo [1028103] $471 3456%
Health Net-Network [1028026] $471 3456%
Contra Costa Health Plan Hmo [1013103] $495 3632%
Blue Shield Hmo [1006103] $511 - $524 3749%
Blue Shield-Network [1006026] $511 - $524 3749%
Blue Shield Ppo [1006104] $548 - $607 4021%
Western Health Advantage Hmo [1053103] $577 - $660 4233%
Health Net Ppo [1028104] $599 4395%
Federal Correction Institute [1062104] $660 4842%
First Health [1016104] $660 - $701 4842%
Healthsmart - Pka Interplan [1031104] $660 4842%
National Provider Network/Plancare America [1069104] $660 4842%
Networks By Design [1084104] $660 4842%
Pponext [1072104] $660 4842%
Sutter Preferred Health Plan [1044104] $660 4842%
Kaiser Hmo [1033103] $668 4901%
Health Management Network [1066104] $701 5143%
Galaxy Health Network [1064104] $742 5444%
Integrated Health Plan [1075104] $742 5444%
Donor Network West [1008103] $4,000 - $8,000 29347%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals