CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Pennsylvania Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $131
  • Cash Discount Price: $381
  • vs. Medicare Baseline: 9.61x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Pennsylvania Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $381. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 9.61x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$381

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

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: $381 (2795%)
Insurance Median: $131 (961%)
Cash: $381 (2795% of Medicare)
Ins. Median: $131 (961% 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 961% of the Medicare baseline (a markup of 861%). 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
Cigna $8 - $129 59%
Gateway Health Plan $12 - $17 88%
Medicaid / KanCare $12 - $381 88%
Pa Medical Assistance $12 88%
Aetna $14 - $381 103%
Blue Cross Blue Shield $14 - $381 103%
Geisinger Health Plan $14 - $43 103%
Health Partners $14 - $381 103%
Humana $14 - $305 103%
Ibc $14 103%
Medicare (plans) $14 103%
Pa Health And Wellness $14 - $22 103%
Penn Life (Living Independently For Elders) $14 103%
Philadelphia Va Medical Center $14 103%
UnitedHealthcare $14 - $381 103%
Upmc $14 - $381 103%
Clover Health Plan $15 110%
Keystone First $15 110%
Keystone Mercy Health Plan $15 110%
Tricare $15 110%
Us Family Health Plan $15 110%
Elap $19 139%
Claims Watcher $22 - $25 161%
Oscar Health Plan $23 169%
Ibc Commercial Hpn $24 176%
Centivo $25 183%
Elap Services $25 183%
Keystone Hmo Proactive $25 183%
Highmark $29 213%
Penn Global Medicine $36 264%
Horizon Nj Health $64 - $67 470%
Pgm - Regie De L'Assurance Maladie Quebec $88 646%
Preferred Health Care Eliance $99 726%
Pgm - Kuwait Defense $133 - $171 976%
Devon $145 - $171 1064%
Qualcare $145 1064%
Coventry $152 - $194 1115%
Pgm - Chop $152 1115%
Wissahickon Hospice $152 1115%
Healthamerica/Coventry $171 - $187 1255%
Olympus $185 1357%
First Health Global $190 1394%
Urn-Cancer Resource Services $190 1394%
Health Net $229 1680%
Pgm - Royal Embassy Of Saudi Arabia $229 1680%
Pgm - Embassy Of Qatar $248 1820%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $248 1820%
Pgm - Embassy Of The United Emirates/Ipc $267 1959%
Devon Health Services Inc $305 2238%
Health America/Ccn $305 2238%
Intergroup $305 2238%
Pgm - Kuwait Health Division $305 2238%
Pgm - Kuwait Oil $305 2238%
Preferred Care $305 2238%
Commercial Other $381 2795%
Community Behavioral Health $381 2795%
International Pfs $381 2795%
Quest Behavioral Health $381 2795%
United Behavioral Health $381 2795%
Workers Compensation $381 2795%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals