CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Carle Richland Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $222
Cash Discount Price: $462
vs. Medicare Baseline: 16.29x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Carle Richland Memorial Hospital is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $462. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 16.29x the Medicare baseline. Located in 800 East Locust Street, Olney, IL.

Cash / Self-Pay

$462

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $462 (3390%)

Insurance Median: $222 (1629%)

Cash: $462 (3390% of Medicare)

Ins. Median: $222 (1629% 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 1629% of the Medicare baseline (a markup of 1529%). 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
Aetna	$97 - $385	712%
Blue Cross Blue Shield	$97 - $323	712%
Humana	$97	712%
Meridian	$97	712%
Molina	$97 - $139	712%
UnitedHealthcare	$97 - $353	712%
Wellcare	$97	712%
Cigna	$286	2098%
Healthlink	$300 - $323	2201%
Multiplan/Phcs	$393 - $402	2883%

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 $462.
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 Carle Richland 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.