CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: St Francis Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $199
Cash Discount Price: $168
vs. Medicare Baseline: 14.60x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at St Francis Hospital is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 14.60x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $168 (1233%)

Insurance Median: $199 (1460%)

Cash: $168 (1233% of Medicare)

Ins. Median: $199 (1460% 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 1460% of the Medicare baseline (a markup of 1360%). 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
Wexford	$12	88%
Meridian Health Plan	$13	95%
Molina Healthcare	$13 - $233	95%
Humana	$49 - $233	360%
Blue Cross Blue Shield	$49 - $233	360%
Clear Spring Health of Illinois	$49 - $233	360%
UnitedHealthcare	$51 - $233	374%
Aetna	$51 - $233	374%
Amish Community	$65	477%
Celtic Insurance Company	$118 - $513	866%
Claim Doc	$122 - $582	895%
Hopetrust	$134 - $582	983%
Wellfirst	$150	1101%
First Health	$173	1269%
Cigna	$186	1365%
Caterpillar, Inc.	$187	1372%
Current Health Solutions	$196	1438%
Consociate Group	$198	1453%
Multiplan/Phcs	$198	1453%
Healthlink	$199	1460%
Healthcare Finest Network (Hfn)	$210	1541%
Provider Network of America	$210	1541%
Health Alliance Medical Plans	$233	1709%
Healthscope	$233	1709%
Live360	$233	1709%
Interplan	$233	1709%
Illinois Breast and Cervical Cancer Program	$233	1709%
Naphcare	$233	1709%

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 $168.
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 St Francis 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.