CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: HSHS St Elizabeth's Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $217
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 15.92x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at HSHS St Elizabeth's Hospital is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 15.92x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $177 (1299%)
Insurance Median: $217 (1592%)
Cash: $177 (1299% of Medicare)
Ins. Median: $217 (1592% 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 1592% of the Medicare baseline (a markup of 1492%). 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
Meridian Health Plan $9 66%
Molina Healthcare $9 - $274 66%
Aetna $14 - $274 103%
Blue Cross Blue Shield $14 - $274 103%
Clear Spring Health Of Illinois $14 - $274 103%
Health Alliance Medical Plans $14 - $274 103%
Health Partners $14 - $274 103%
Humana $14 - $274 103%
Sae Hospice $14 - $274 103%
UnitedHealthcare $14 - $274 103%
Celtic Insurance Company $29 - $274 213%
Naphcare $31 - $274 227%
Claim Doc $34 - $274 249%
Hopetrust $34 - $274 249%
Amish Community $61 - $77 448%
Wellfirst $140 - $176 1027%
First Health $161 - $204 1181%
Cigna $171 - $274 1255%
Healthlink $173 - $274 1269%
Caterpillar, Inc. $174 - $220 1277%
Consociate Group $191 - $241 1401%
Choicecare $195 - $247 1431%
Healthcare Finest Network (Hfn) $195 - $247 1431%
Multiplan/Phcs $195 - $247 1431%
Provider Network Of America $195 - $247 1431%
City Of Springfield $217 - $274 1592%
Current Health Solutions $217 - $274 1592%
Healthscope $217 - $274 1592%
Illinois Breast And Cervical Cancer Program $217 - $274 1592%
Interplan $217 - $274 1592%
Live360 $217 - $274 1592%
Wexford $217 - $274 1592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals