CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Highland Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $14
Cash Discount Price: $98
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Highland Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 1.03x the Medicare baseline. Located in 1000 South Avenue, Rochester, NY.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $98 (719%)

Insurance Median: $14 (103%)

Cash: $98 (719% of Medicare)

Ins. Median: $14 (103% 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.

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
Medicaid / KanCare	$12 - $31	88%
Medicare (plans)	$12 - $20	88%
Mvp [2900]	$12 - $13	88%
Amerigroup (Bswny Alternate) [1720]	$13	95%
Cigna	$13	95%
Excellus [2201]	$13 - $15	95%
UnitedHealthcare	$13 - $16	95%
Capital District Physicians Health Plan (Cdphp) [5149]	$14	103%
Martins Point [1205]	$14	103%
Humana	$17	125%
Molina Healthcare [5189], Molina Healthcare [1723]	$17 - $31	125%
Aetna	$18 - $22	132%
Independent Health [5156]	$20	147%
Fidelis [5155]	$30 - $31	220%

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 $98.
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 Highland 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.