CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Loma Linda University Children's Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $54
Cash Discount Price: $91
vs. Medicare Baseline: 3.96x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Loma Linda University Children's Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 3.96x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $91 (668%)

Insurance Median: $54 (396%)

Cash: $91 (668% of Medicare)

Ins. Median: $54 (396% 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 396% of the Medicare baseline (a markup of 296%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$11	81%
Alpha Care Medical Group	$14 - $20	103%
Dignity Health	$14 - $20	103%
Epic Health Plan	$14 - $108	103%
Inland Empire Health Plan (Iehp)	$14 - $20	103%
Kaiser Foundation Hospitals	$14 - $180	103%
Upland Medical Group	$14	103%
Vantage Medical Group	$14 - $20	103%
Molina Healthcare Of Ca	$17 - $18	125%
Heritage Provider Network	$22	161%
Adventist Health	$26 - $54	191%
Lluh Dept Of Risk Management	$32 - $65	235%
Blue Shield Of California	$59 - $89	433%
Global Benefits Group	$79 - $162	580%
Temecula Valley Physicians Medical Group	$79	580%
Trivalley Medical Group	$79	580%
Cigna	$85 - $98	624%
Networks By Design	$86 - $176	631%
Aetna	$87	638%
Multiplan	$106 - $216	778%
Galaxy Health	$113 - $230	829%
Prime Health Services	$113 - $230	829%
Blue Cross Blue Shield	$135	990%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $91.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82728.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loma Linda University Children's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82728.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.