CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Children's Hospital of Philadelphia

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $245
Cash Discount Price: $582
vs. Medicare Baseline: 17.98x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Children's Hospital of Philadelphia is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $582. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 17.98x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$582

Average discount available for prompt cash payment at this facility.

Insurance Median

$245

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: $582 (4270%)

Insurance Median: $245 (1798%)

Cash: $582 (4270% of Medicare)

Ins. Median: $245 (1798% 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 1798% of the Medicare baseline (a markup of 1698%). 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
Geisinger Medical Assistance	$16	117%
Highmark Wholecare	$18	132%
Horizon Nj Health	$58	426%
Medicaid / KanCare	$96	704%
UnitedHealthcare	$97 - $320	712%
Health Partners	$110	807%
Aetna	$138 - $291	1012%
Upmc Medical Assistance	$159	1167%
Keystone First Chip	$180	1321%
Keystone Health Plan East	$184	1350%
Blue Cross Blue Shield	$205 - $233	1504%
Geisinger Health Plan Commercial	$256	1878%
Jefferson Health Plans	$275	2018%
Cigna	$291	2135%
Highmark	$291	2135%
Qualcare	$320	2348%
First Health Network	$378	2773%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$466	3419%
Private Health Care Systems	$466	3419%
Choice Care Network	$524	3844%

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 $582.
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 Children's Hospital of Philadelphia 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.