CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Quail Creek Surgical Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $82
Cash Discount Price: $59
vs. Medicare Baseline: 6.02x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Quail Creek Surgical Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.02x the Medicare baseline. Located in 6819 Plum Creek, Amarillo, TX.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $59 (433%)

Insurance Median: $82 (602%)

Cash: $59 (433% of Medicare)

Ins. Median: $82 (602% 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 602% of the Medicare baseline (a markup of 502%). 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
First Care Commercial [1371]	$36	264%
Healthscope Benefits [2290]	$39 - $46	286%
UnitedHealthcare	$39 - $85	286%
Insurance Management Services (Ims) [1540]	$41 - $53	301%
Aetna	$46 - $88	337%
Amerigroup Commercial [5055]	$46	337%
Black Lung [6055]	$46	337%
Caprock Health Plans [1200]	$46	337%
Cigna	$46 - $85	337%
Curative [7085]	$46	337%
Healthcare Highways [2210]	$46	337%
Horizon Nj Health [3635]	$46	337%
Lucent Health [6000]	$46	337%
Medicaid / KanCare	$46	337%
Midland Pace Mcaid [3715]	$46	337%
Oncology Patient Assistance Programs [2295]	$46	337%
Texas Childrens Health Plan [3995]	$46	337%
Web Tpa [2115]	$46 - $88	337%
Maxor Insurance [1610]	$55	404%
American Healthcare [1055]	$58	426%
Group Pension Admin [1450]	$58	426%
Sana Benefits [5005]	$58	426%
Texas Rehab [1965]	$67	492%
Texas Rehabilitation [1970]	$67	492%
Nreca [1735]	$72	528%
Tml [1980]	$72	528%
United Behavioral Health [3820]	$72	528%
Administrative Concepts [1005]	$82	602%
Alieracare [2935]	$82	602%
Americas Choice Health Plans [1090]	$82	602%
Assurant Health [1105]	$82 - $88	602%
Beech Street [1170]	$82	602%
Benefit Management [1175]	$82	602%
Cbsa [1215]	$82	602%
Celtic Life [1220]	$82	602%
Cherokee Insurance [1245]	$82	602%
Comcar Industries [1280]	$82	602%
Equitable [1355]	$82	602%
Federated Mutual [1365]	$82	602%
Ge Group Administrators [1405]	$82	602%
Guardian [1465]	$82	602%
Insurers Administrative Corp [1550]	$82	602%
Lewer Agency [1565]	$82	602%
Medica [2910]	$82	602%
Medishare Christian Care [1645]	$82	602%
Mega Life And Health [1650]	$82	602%
Northamerica Administrators [1725]	$82	602%
Pan American Life Insurance Co [1770]	$82	602%
Phcs [1780]	$82	602%
Phoenix Home Life [1785]	$82	602%
Principal Mutual Life [1845]	$82	602%
Rh Administrators [1885]	$82	602%
Trustmark [2030]	$82 - $88	602%
Coresource [1315]	$85	624%
Healthpartners [1500]	$85	624%
National Association Of Letter Carriers [1695]	$85	624%
Allied Benefit Systems Inc [1030]	$88	646%
American Veterinary [1085]	$88	646%
Cba Administrators [1210]	$88	646%
Coventry Healthcare [1320]	$88	646%
Fmh Benefit Services [1390]	$88	646%
Gilsbar [1425]	$88	646%
Healthnet [1495]	$88	646%
Mailhandlers [1595]	$88	646%
Meritain Health [1655]	$88	646%
Reserve National [1880]	$88	646%
Rural Carrier Benefit Plan [1895]	$88	646%
Allied National Global Care [1035]	$99	726%
Combined Insurance Of America [1275]	$99	726%
Freedom Life Insurance [1400]	$99	726%
Group Health [2165]	$99	726%
Kaiser Permanente [1560]	$99	726%
Multiplan [1680]	$99	726%
Mutual Of Omaha [1685]	$99	726%
New Era Life Insurance Company [1705]	$99	726%
Pba [1775]	$99	726%
Planned Administrators Inc [2360]	$99	726%
Universal Fidelity [2085]	$99	726%

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 $59.
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 Quail Creek Surgical 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.