CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Boone County Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $34
Cash Discount Price: $55
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Boone County Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 2.49x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $55 (404%)

Insurance Median: $34 (249%)

Cash: $55 (404% of Medicare)

Ins. Median: $34 (249% 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 249% of the Medicare baseline (a markup of 149%). 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
Va Ccn-All Plans	$3 - $16	22%
Choice Care Mcr Adv - All Plans	$9 - $47	66%
Humana	$9 - $104	66%
Iowa Hlth Adv - All Plans	$9 - $47	66%
Mt Carmel Hp - All Plans	$9 - $47	66%
UnitedHealthcare	$9 - $68	66%
Aetna	$10 - $90	73%
Amerigroup Mcr Adv - All Other Plans	$10 - $48	73%
Meridian Mcaid - All Plans	$10 - $52	73%
Medicaid / KanCare	$11 - $53	81%
Tricare	$14	103%
Healthsmart Accell Network	$16 - $81	117%
Medical Associates Hp-All Plans	$17 - $86	125%
Healthsmart Ppo - All Other Plans	$18 - $92	132%
Health Alliance-All Plans	$21 - $104	154%
Midlands Choice-All Plans	$21 - $106	154%
Mutually Preferred-All Plans	$22 - $109	161%
Wellmark Hmo	$47	345%
Wellmark Ppo - All Other Plans	$52	382%
Iowa Total Care Mcaid - All Plans	$53	389%

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 $55.
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 Boone County Hospital 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.