CMS Price Transparency Data
Blood test, ferritin (iron stores)
Facility: Watsonville Community Hospital
Billing Code: 82728 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82728
- Insurance Median: $574
- Cash Discount Price: $576
- vs. Medicare Baseline: 42.11x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Watsonville Community Hospital is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $576. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 42.11x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$576
Average discount available for prompt cash payment at this facility.
Insurance Median
$574
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: $576 (4226%)
Insurance Median: $574 (4211%)
Cash: $576 (4226% of Medicare)
Ins. Median: $574 (4211% 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 4211% of the Medicare baseline (a markup of 4111%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $14 | 103% |
| Ace-Usa | $14 | 103% |
| Nx Health Network | $14 | 103% |
| Secure Horizons | $14 | 103% |
| Crawford & Co | $14 | 103% |
| Secure Horizons Dign HMO | $14 - $192 | 103% |
| Beta Healthcare Group | $14 | 103% |
| U.S. Dept. of Labor | $14 | 103% |
| Blue Shield PPO | $14 - $43 | 103% |
| Workers Comp | $14 | 103% |
| Fireman's Fund Work Comp | $14 | 103% |
| Health Net of California | $14 - $602 | 103% |
| Keenan & Assoc Work Comp | $14 | 103% |
| Republic Idemnity W/Comp | $14 | 103% |
| Fleming & Associates | $14 | 103% |
| Liberty Mutual Work Comp | $14 | 103% |
| Veterans Administration | $14 | 103% |
| Medicare (plans) | $14 | 103% |
| Miscellaneous Work Comp | $14 | 103% |
| Travelers Insurance | $14 - $959 | 103% |
| Pinnacle Healthcare Uc | $14 | 103% |
| Alignment Health Plan | $14 | 103% |
| Western Growers Work Comp | $14 | 103% |
| Hartford Workers' Comp | $14 | 103% |
| Gallagher Bassett Svcs | $14 | 103% |
| Kemper Group Workers Comp | $14 | 103% |
| UnitedHealthcare | $14 - $576 | 103% |
| Healthy Families | $17 - $43 | 125% |
| Medicaid / KanCare | $17 | 125% |
| Ccs/Monterey County | $17 | 125% |
| Well Path | $17 - $959 | 125% |
| Medi-Cal E.R. | $17 | 125% |
| California Childrens Srvs | $17 | 125% |
| Medi-Cal/Eds | $17 | 125% |
| Alliance/Sccho | $19 | 139% |
| Bs Employee | $43 | 315% |
| Ufcw/Valley Clerks | $43 | 315% |
| United Agriculture | $43 | 315% |
| Claims Management Wc | $91 - $855 | 668% |
| Calif Ironworkers Field | $91 - $855 | 668% |
| Blue Cross Blue Shield | $91 - $855 | 668% |
| State Compensation Fund | $91 - $855 | 668% |
| Teamsters Benefit Trust | $91 - $855 | 668% |
| Robert Kennedy/Ccn | $91 - $855 | 668% |
| Western Growers Trust/Bc | $91 - $855 | 668% |
| Carpenters H&W Trust | $91 - $855 | 668% |
| Delta Health Systems | $91 - $855 | 668% |
| Sheet Metal Workers | $91 - $855 | 668% |
| Monterey Bay Pub Emp Trst | $91 - $855 | 668% |
| Pinnacle Claims Tpa/Bc | $91 - $855 | 668% |
| City of Wats/Pinnacle Clm | $91 - $855 | 668% |
| Laborers Health & Welfare | $91 - $855 | 668% |
| Operating Engineers | $91 - $855 | 668% |
| Medicruz | $173 | 1269% |
| Victim Compensation Plan | $173 - $959 | 1269% |
| Health Net Pmg HMO | $192 - $602 | 1409% |
| Aetna | $192 - $787 | 1409% |
| Cigna | $192 - $672 | 1409% |
| Blue Shield HMO | $192 | 1409% |
| Great-West/Phcs | $192 - $672 | 1409% |
| Pacificare HMO | $192 - $576 | 1409% |
| Western Health Advantage | $480 | 3522% |
| Health Net Smartcare Netw | $576 | 4226% |
| Pacificare PPO | $576 | 4226% |
| Self Pay | $576 | 4226% |
| Health Net Blue and Gold | $602 | 4417% |
| Health Net Canopycare HMO | $602 | 4417% |
| Transwestern | $672 - $767 | 4930% |
| First Health | $672 - $767 | 4930% |
| Geha (Ccn) | $672 - $767 | 4930% |
| Adventist Risk Management | $672 - $767 | 4930% |
| Multiplan Inc PPO | $748 | 5488% |
| Private Healthcare System | $748 | 5488% |
| Coastal Healthcare Admin | $815 - $863 | 5979% |
| Salinas Valley Mem Hops | $815 | 5979% |
| Prucare Pmg POS | $959 | 7036% |
| Allstate | $959 | 7036% |
| Humana | $959 | 7036% |
| Zenith National Ins | $959 | 7036% |
| Bankers Life & Casualty | $959 | 7036% |
| Sutter Health Plus | $959 | 7036% |
| United Administrative | $959 | 7036% |
| Prucare Pmg HMO | $959 | 7036% |
| Apwu Health Plan | $959 | 7036% |
| Aaa | $959 | 7036% |
| State Farm Ins | $959 | 7036% |
| Miscellaneous Insurance | $959 | 7036% |
| Aarp | $959 | 7036% |
| Wholesale Beer Distributo | $959 | 7036% |
| Miscellaneous Auto | $959 | 7036% |
| North Calif Bakery Driver | $959 | 7036% |
| Farmers Insurance | $959 | 7036% |
| Physicians Mutual | $959 | 7036% |