CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Nemours Children's Hospital, Delaware

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $49
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 3.60x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Nemours Children's Hospital, Delaware is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 3.60x the Medicare baseline. Located in 1600 Rockland Rd Po Box 269, Wilmington, DE.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $214 (1570%)
Insurance Median: $49 (360%)
Cash: $214 (1570% of Medicare)
Ins. Median: $49 (360% 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 360% of the Medicare baseline (a markup of 260%). 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
Keystone First Hlth Plan $8 - $377 59%
Amerihealth Caritas Delaware $12 - $486 88%
Blue Cross Blue Shield $12 - $753 88%
Carefirst Md Community Health Plan $13 95%
Priority Partners John Hopkins $13 - $418 95%
Celtic Transplant For De First Health $14 - $299 103%
Delaware First Health $14 - $307 103%
Tricare $14 103%
Kidz Partners $15 - $323 110%
UnitedHealthcare $15 - $532 110%
Wellpoint Maryland $15 - $316 110%
Fidelis $16 - $341 117%
Health Partners $16 - $331 117%
Upmc $16 - $338 117%
Us Family Health Plan $16 117%
Aetna $17 - $495 125%
Six Degrees Health Transplant $20 - $426 147%
Cigna $22 - $537 161%
Great West-One Health Plan $22 - $537 161%
Ambetter / Centene $23 - $486 169%
Celtic Transplant $23 - $853 169%
Geisinger Health Plan $24 - $512 176%
Integra Administrative Group $24 - $512 176%
National Transplant Network (Ntn) $26 - $554 191%
Six Degrees Health $26 - $554 191%
Star Healthcare Network $26 - $554 191%
Life Trac Solid Organ And Bmt Transplant $28 - $597 205%
First Health Network $38 - $810 279%
Insurance Administrators Of America $38 - $810 279%
Interlink Transplant Network $38 - $810 279%
Multiplan $38 - $810 279%
Preferred Healthcare $38 - $810 279%
Private Healthcare Systems $38 - $810 279%
Three Rivers Provider Network $38 - $810 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Rockland Rd Po Box 269, Wilmington, DE 19899
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens