CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Hamilton Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $131
Cash Discount Price: $139
vs. Medicare Baseline: 9.61x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Hamilton Memorial Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 9.61x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $139 (1020%)

Insurance Median: $131 (961%)

Cash: $139 (1020% of Medicare)

Ins. Median: $131 (961% 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 961% of the Medicare baseline (a markup of 861%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$61 - $66	448%
Blue Cross Blue Shield	$62 - $149	455%
Aetna	$66 - $147	484%
Health Alliance	$66 - $131	484%
Humana	$66	484%
Medicare (plans)	$66	484%
UnitedHealthcare	$66 - $117	484%
Wellcare	$66	484%
Alliance Coal	$115	844%
Healthscope	$115	844%
Wellfirst (Ssmhic)	$115	844%
Hope Trust	$123	902%
Cigna	$129	946%
Hfn, Inc	$131 - $147	961%
Healthlink	$139 - $147	1020%
Multiplan	$139	1020%
Siho	$147	1079%
Three Rivers Provider	$147	1079%
Healthsmart	$156	1145%
Stratose	$156	1145%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $139.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82728.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hamilton Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82728.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.