CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Madison County Health Care System

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $85
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 6.24x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Madison County Health Care System is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.24x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $104 (763%)
Insurance Median: $85 (624%)
Cash: $104 (763% of Medicare)
Ins. Median: $85 (624% 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 624% of the Medicare baseline (a markup of 524%). 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
Blue Cross Blue Shield $46 - $50 337%
Aetna $56 - $84 411%
Medical Associates Hp - All Plans $56 411%
Medigold-All Plans $56 411%
Tricare $56 411%
UnitedHealthcare $56 - $117 411%
American Hp Mcr Adv-All Plans $59 433%
Iowa Total Care Mcaid-All Plans $61 448%
Molina Mcaid/Chip -All Plans $63 462%
Amerigroup Mcaid-All Plans $65 477%
Madison County Sheriff-All Plans $65 477%
Oscar - All Plans $84 616%
Corvel Wc-All Plans $117 858%
Choicecare-All Plans $124 910%
First Choice-All Plans $124 910%
First Health-All Plans $124 910%
Integrated Hp-All Plans $124 910%
Mutual Of Omaha-All Plans $124 910%
Plaines Health-All Plans $124 910%
Preferred Hlth Ntwork-All Plans $124 910%
Principal Healthcare-All Plans $124 910%
Usa Managed Care-All Plans $124 910%
Medimore Employee Hp - All Plans $127 932%
Midlands Choice - All Plans $127 932%
Benefit Admin Of America-All Plans $130 954%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals