CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Waverly Health Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $58
Cash Discount Price: $49
vs. Medicare Baseline: 4.26x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Waverly Health Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.26x the Medicare baseline. Located in 312 9Th Street Sw, Waverly, IA.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $49 (360%)

Insurance Median: $58 (426%)

Cash: $49 (360% of Medicare)

Ins. Median: $58 (426% 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 426% of the Medicare baseline (a markup of 326%). 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
Choicecare Network - All Plans	$31 - $41	227%
UnitedHealthcare	$31 - $74	227%
Medicare (plans)	$35 - $46	257%
Midlands Choice Mcare	$35 - $46	257%
Hlth Partners Bridges Ntwrk	$56 - $74	411%
Hlth Partners Open Ntwrk - All Other Plans	$56 - $74	411%
Wellmark Hmo	$60	440%
Wellmark Ppo - All Other Plans	$66	484%
Aetna	$69 - $90	506%
Health Alliance-All Plans	$73 - $95	536%
Midlands Choice-All Other Plans	$73 - $95	536%

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 $49.
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 Waverly Health Center 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.