CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Decatur Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $192
  • Cash Discount Price: $326
  • vs. Medicare Baseline: 14.09x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Decatur Memorial Hospital is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $326. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 14.09x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.
Cash / Self-Pay
$326

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $326 (2392%)
Insurance Median: $192 (1409%)
Cash: $326 (2392% of Medicare)
Ins. Median: $192 (1409% 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 1409% of the Medicare baseline (a markup of 1309%). 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
Blue Cross Blue Shield $12 - $331 88%
Medicaid / KanCare $12 88%
Aetna $13 - $222 95%
Coventry $13 - $168 95%
Health Alliance $13 - $220 95%
Humana $13 - $215 95%
Medicare (plans) $13 95%
UnitedHealthcare $13 - $331 95%
Veterans Administration $13 95%
Wellcare $13 95%
Tricare $14 103%
Caterpillar $17 125%
Plain Church Medical Group $18 - $149 132%
Illinois Workers Compensation $62 - $107 455%
Hfn $100 - $248 734%
Commercial Workers Compensation $101 741%
Mennonite Churches $112 - $116 822%
Health Alliance Mh Employee Plan $147 - $152 1079%
Cigna $149 - $154 1093%
6 Degrees Health $192 - $199 1409%
Hopetrust $192 - $199 1409%
Hst $192 - $199 1409%
Phcs Savility $208 - $215 1526%
Phcs Multiplan Ppo $218 - $225 1599%
Healthlink $220 - $227 1614%
Corvel $230 - $238 1687%
Consociate $237 - $245 1739%
Liability $320 - $331 2348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 North Edward Street, Decatur, IL 62526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals