CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Adventist Health Sierra Vista

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $28
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 2.05x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Adventist Health Sierra Vista is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 2.05x the Medicare baseline. Located in 1010 Murray St, San Luis Obispo, CA.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $3 (22%)
Insurance Median: $28 (205%)
Cash: $3 (22% of Medicare)
Ins. Median: $28 (205% 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 205% of the Medicare baseline (a markup of 105%). 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
Hpn-Heritage Prov Ntwrk-All Plans $11 81%
UnitedHealthcare $11 - $367 81%
Blue Shield Epn $13 95%
Aetna $14 103%
Cencal Mcr Adv - All Other Plans $14 103%
Tricare $14 103%
Blue Shield Epo/Ppo-All Other Plans $17 125%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans $18 132%
Ah Employee Health Plan - All Plans $25 183%
Medi-Cal $32 235%
Blue Shield Promise Mcal $38 279%
Coalinga-All Plans $42 308%
Blue Shield Hmo/Pos $49 360%
Nbd-Ntwrks By Design Exclus-All Other Plans $58 426%
Nbd-Ntwrks By Design Non-Exclus $58 426%
Ccah-Centrl Ca Allince Mcal-All Plans $130 954%
Cencal Mcal $1,218 8936%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1010 Murray St, San Luis Obispo, CA 93405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals