CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $66
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 4.84x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Clearwater Valley Hospital & Clinics is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.84x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $68 (499%)
Insurance Median: $66 (484%)
Cash: $68 (499% of Medicare)
Ins. Median: $66 (484% 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 484% of the Medicare baseline (a markup of 384%). 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
Aetna $49 - $85 360%
Humana $49 - $88 360%
Pacific Source - All Plans $49 360%
Regence Blue Shield Mcr $49 360%
Veterans Amin-All Plans $49 360%
Blue Cross Blue Shield $50 - $73 367%
Nimiipuu Mcr Adv-All Plans $50 367%
Corizon Correctnal Med-All Plans $66 484%
Cigna $82 602%
Idaho Phys Network-All Plans $86 631%
Multiplan / Phcs-All Plans $88 646%
First Choice-All Plans $89 653%
Geha-All Plans $89 653%
Regence Blue Shield-All Other Plans $91 668%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Cedar Street, Orofino, ID 83544
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals