CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Alton Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $56
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 4.11x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Alton Memorial Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.11x the Medicare baseline. Located in One Memorial Drive, Alton, IL.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $58 (426%)
Insurance Median: $56 (411%)
Cash: $58 (426% of Medicare)
Ins. Median: $56 (411% 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 411% of the Medicare baseline (a markup of 311%). 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 $14 - $73 103%
Blue Cross Blue Shield $14 - $84 103%
Cox Health [757] $14 103%
Devoted Health Plan [847] $14 103%
Essence Healthcare [221] $14 103%
Humana $14 - $38 103%
Medica [662] $14 103%
UnitedHealthcare $14 - $72 103%
Healthscope Benefits [258] $16 117%
Cigna $19 - $78 139%
Allied Benefits [498] $24 - $72 176%
Consociate [478] $24 176%
Coresource [497] $24 176%
Fmh Benefit Service Inc [222] $24 176%
Mail Handlers [495] $24 176%
Mercy Behavioral Health [573] $24 176%
Sarah Bush Lincoln [636] $24 176%
Apwu Health Plan [216] $29 213%
Nalc Health Benefit Plan [242] $29 213%
Priority Health [648] $29 213%
Healthlink [225] $47 - $73 345%
Cox Health Systems Insurance Company [220] $53 - $63 389%
Health Alliance [224] $53 389%
Hope Trust [806] $56 411%
Med-Pay [480] $63 - $73 462%
Unicare [568] $63 - $73 462%
First Health Commercial [734] $72 528%
Beechstreet [551] $73 536%
Detego Health [868] $73 536%
Health Systems Inc [620] $73 536%
Healthcare Sol Mercy [609] $73 536%
Multiplan Commercial [737] $73 536%
Multiplan [240] $73 536%
Phcs [244] $73 - $78 536%
Preferred Health Professionals [561] $73 536%
Hfn [563] $78 572%
Medica [661] $78 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Memorial Drive, Alton, IL 62002
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals