CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Decatur County Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $91
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 6.68x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Decatur County Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.68x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $88 (646%)
Insurance Median: $91 (668%)
Cash: $88 (646% of Medicare)
Ins. Median: $91 (668% 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 668% of the Medicare baseline (a markup of 568%). 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
UnitedHealthcare $15 - $95 110%
Blue Cross Blue Shield $35 - $36 257%
Wellmark Hmo $46 337%
Champva -All Plans $49 - $50 360%
Wellmark Ppo - All Other Plans $50 367%
Everystep Hospice-All Plans $56 - $58 411%
Aetna $58 - $88 426%
Tricare $58 - $60 426%
Benefit Admin System-All Plans $70 - $73 514%
Humana $79 - $82 580%
Meritain Health-All Plans $79 - $82 580%
Misc Commercial-All Plans $79 - $82 580%
All Savers-All Plans $81 - $84 594%
Allied Benefit System-All Plans $81 - $84 594%
American Family Ins Grp-All Plans $81 - $84 594%
Rural Carrier Benefit Plan-All Plans $83 - $86 609%
Christian Healthcare -All Plans $86 - $90 631%
Medica-All Other Plans $86 - $90 631%
Golden Rule-All Plans $92 - $95 675%
Ntca The Rural Broadband-All Plans $92 - $95 675%
Cigna $93 - $96 682%
Medical Mutual-All Plans $95 - $99 697%
Farm Bureau Financial-All Other Plans $97 - $101 712%
Farm Bureau Property And Ca $97 - $101 712%
Medi Share-All Plans $98 - $102 719%
Uhss-All Plans $98 - $102 719%
Health Partners-All Plans $99 - $103 726%
Lewermark-All Plans $103 - $106 756%
Mail Handlers Benefit-All Plans $106 - $110 778%
Midlands Choice-All Plans $106 - $110 778%
Priority Health-All Plans $108 - $112 792%
Iowa Total Care Mcaid-All Plans $110 - $114 807%
Amerigroup Mcaid-All Plans $113 - $118 829%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals