CMS Price Transparency Data
Blood test, ferritin (iron stores)
Facility: Clovis Community Medical Center
Billing Code: 82728 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82728
- Insurance Median: $14
- Cash Discount Price: $84
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Clovis Community Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 1.03x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$84
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: $84 (616%)
Insurance Median: $14 (103%)
Cash: $84 (616% 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.
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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 |
|---|---|---|
| Community Care | $3 - $62 | 22% |
| Central Valley Medical Providers | $3 - $139 | 22% |
| Employer 90/40 | $5 - $79 | 37% |
| UnitedHealthcare | $6 - $104 | 44% |
| Central Ca Indian Health | $7 - $133 | 51% |
| Blue Shield | $7 - $113 | 51% |
| Cigna | $7 - $123 | 51% |
| Healthnet | $7 - $117 | 51% |
| Nx Health Network PPO | $7 - $109 | 51% |
| Blue Cross Blue Shield | $8 - $126 | 59% |
| Healthsmart | $8 - $159 | 59% |
| Network By Design | $9 - $149 | 66% |
| Coventry Health Care (First Health Network) | $9 - $149 | 66% |
| PHCS | $10 - $169 | 73% |
| Humana | $10 - $169 | 73% |
| Generic Multiplan | $10 - $169 | 73% |
| Ccs Stanislaus | $12 | 88% |
| Medi-Cal Contra Costa Health Plan | $12 | 88% |
| Cal Caloptima | $12 | 88% |
| Ccs Madera/Sacramento | $12 | 88% |
| Santa Clara Family Health Plan - Premier Health | $12 | 88% |
| Ccs Mariposa | $12 | 88% |
| Medi-Cal Molina | $12 | 88% |
| Medi-Cal Blue Shield Promise Health | $12 | 88% |
| Medi-Cal California Health & Wellness Plan | $12 | 88% |
| Medi-Cal La Care Health | $12 | 88% |
| Fresno County Funded Specialty Care | $12 | 88% |
| Genetically Handicapped Person | $12 | 88% |
| Ccs Kern | $12 | 88% |
| Ccs Kings | $12 | 88% |
| Ccs Fresno | $12 | 88% |
| Medi-Cal Inland Empire Health | $12 | 88% |
| San Francisco Health Plan Medi-Cal | $12 | 88% |
| Medi-Cal Cencal Health | $12 | 88% |
| Medi-Cal Alameda Alliance for Health | $12 | 88% |
| Medi-Cal Partnership Health Plan of Ca | $12 | 88% |
| Generic Care Out of County | $12 | 88% |
| Medi-Cal Health Plan of San Mateo | $12 | 88% |
| Medi-Cal Community Health Group | $12 | 88% |
| Ccs Tulare | $12 | 88% |
| Medi-Cal Kern Family Health | $12 | 88% |
| Santa Clara Family Health Plan - Valley Health | $12 | 88% |
| Chdp | $12 | 88% |
| Generic Ccs Other Counties | $12 | 88% |
| Gold Coast Medi-Cal | $12 | 88% |
| Ccs Merced | $12 | 88% |
| Well Path (Cfmg) | $13 - $266 | 95% |
| Gemcare HMO | $14 | 103% |
| Blue Shield Saint Agnes | $14 | 103% |
| Us Marshal | $14 | 103% |
| Todays Pyramid | $14 | 103% |
| Healthnet Sante - Sub Cap Dual Risk | $14 | 103% |
| Bscphp HMO - First Choice | $14 | 103% |
| Meritage Brand New Day | $14 | 103% |
| Victims of Crime | $14 | 103% |
| Sante Sub Cap Healthnet Seniority | $14 | 103% |
| Blue Shield 65 Plus HMO Ehs | $14 | 103% |
| Brand New Day | $14 | 103% |
| Bscphp - First Choice | $14 | 103% |
| Meritage Healthnet HMO | $14 | 103% |
| Healthnet Sante Dual Risk | $14 | 103% |
| Wellcare | $14 | 103% |
| Healthnet HMO - Dhmso | $14 | 103% |
| Bscphp - Dhmso | $14 | 103% |
| Scan Health Plan | $14 | 103% |
| Cares Act Provider Relief Fund | $14 | 103% |
| Aetna | $14 - $69 | 103% |
| Sante-Sub Cap Ma Brand New Day | $14 | 103% |
| Generic Bscphp | $14 | 103% |
| Sante-Blue Shield/Sante | $14 | 103% |
| Generic | $14 | 103% |
| Railroad Part A | $14 | 103% |
| Medicare (plans) | $14 | 103% |
| Blue Shield Promise - Imperial | $14 | 103% |
| Care1St HMO - Ehs | $14 | 103% |
| Sante | $14 - $19 | 103% |
| Healthnet HMO - Cvmp/Medpro | $14 | 103% |
| Blue Shield Hmo-Cvmp/Medpro | $14 | 103% |
| Blue Shield 65 Plus HMO First Choice | $14 | 103% |
| Sante-Healthnet Seniority | $14 | 103% |
| Advantek Table Mountain Rancheria Tribal Member | $14 | 103% |
| Railroad Part A & B | $14 | 103% |
| Generic Victims of Crime | $14 | 103% |
| Blue Shield Sante | $14 | 103% |
| Healthnet HMO - Sante | $14 | 103% |
| Kaiser | $14 | 103% |
| Medi-Cal Innovative Integrated Health | $14 | 103% |
| Healthnet Sante | $14 | 103% |
| Healthnet HMO - La Salle | $14 | 103% |
| Railroad Part B | $14 | 103% |
| Sante Sub Cap-Blue Shield/Sante | $14 | 103% |
| Hartford Life Supplement | $14 | 103% |
| Sequoia Pace - Peak Tpa | $14 | 103% |
| Meritage Blue Shield 65 Plus | $14 | 103% |
| Champion Health Plan of California Ma | $15 | 110% |
| Alignment Health Plan | $15 | 110% |
| Innovative Integrated Health Community Plans HMO | $15 | 110% |
| Imperial Health Plan HMO | $16 | 117% |
| Sequoia Pace | $18 | 132% |
| Correctcare Integrated Health | $18 | 132% |
| Health Plan of San Joaquin | $18 | 132% |
| Adventist -McL Calviva Sub Cap | $20 | 147% |
| Coalinga State Hospital | $27 | 198% |
| Naphcare Inc-Mendota | $29 | 213% |