CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Lost Rivers Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $69
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 5.06x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Lost Rivers Medical Center is $69. 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 5.06x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $69 (506%)
Cash: $88 (646% of Medicare)
Ins. Median: $69 (506% 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 506% of the Medicare baseline (a markup of 406%). 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
Humana $15 - $69 110%
Regence Blue Shield-All Other Plans $15 110%
Provider Network Of America-All Plans $25 183%
Select Health Brightpath-All Other Plans $62 455%
Tricare $62 455%
Ihcn Brightpath-All Other Plans $66 484%
Va Pccc-All Plans $67 492%
Blue Cross Blue Shield $69 - $110 506%
Ihcn Brightpath Mcr Adv $69 506%
Molina Mcr Adv-All Plans $69 506%
Pacificsource Mcr Adv $69 506%
Regence/Brightpth Slhp Mcr $69 506%
Select Health Mcr Adv $69 506%
Prime Hlth Mcr Adv $73 536%
Aetna $75 - $103 550%
Cigna $102 748%
First Choice-All Plans $102 748%
Pacificsource Navigator-All Other Plans $104 763%
UnitedHealthcare $104 763%
Altius Health Plan-All Plans $107 785%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 551 Highland Drive, Arco, ID 83213
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals