CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Nemours Childrens Hospital, Florida

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $155
Cash Discount Price: $332
vs. Medicare Baseline: 11.37x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Nemours Childrens Hospital, Florida is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $332. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 11.37x the Medicare baseline. Located in 6535 Nemours Pkwy, Orlando, FL.

Cash / Self-Pay

$332

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $332 (2436%)

Insurance Median: $155 (1137%)

Cash: $332 (2436% of Medicare)

Ins. Median: $155 (1137% 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 1137% of the Medicare baseline (a markup of 1037%). 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	$12	88%
Tricare	$13	95%
Cigna	$18 - $139	132%
Truli	$72 - $138	528%
Florida Blue	$79 - $210	580%
Avmed	$103 - $107	756%
Employers Health Network Fl	$132 - $138	968%
Aetna	$146 - $152	1071%
Evolutions Healthcare	$149 - $155	1093%
Integra Administrative Group	$199 - $207	1460%
Global Medical Management	$215 - $224	1577%
Prime Health Services	$215 - $224	1577%
Star Healthcare Network	$215 - $224	1577%
Velocity	$248 - $259	1820%
First Health Network	$258 - $269	1893%
Pnoa	$265 - $276	1944%
Seminole Tribe Of Fl	$265 - $276	1944%
Private Healthcare Systems	$305 - $317	2238%

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 $332.
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 Nemours Childrens Hospital, Florida 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.