CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Saint Joseph Regional Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $61
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 4.48x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Saint Joseph Regional Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.48x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $151 (1108%)
Insurance Median: $61 (448%)
Cash: $151 (1108% of Medicare)
Ins. Median: $61 (448% 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 448% of the Medicare baseline (a markup of 348%). 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
Aetna $8 - $113 59%
Blue Cross Blue Shield $8 - $27 59%
Medicaid / KanCare $8 - $14 59%
UnitedHealthcare $8 - $148 59%
County Coroner $14 103%
Managed Health Services - Indiana $14 103%
Mdwise $14 103%
Medicare (plans) $14 103%
Meridian Complete $14 103%
Pace-Trinity Health $14 103%
Provider Partners Health Plan Of Indiana $15 110%
Auxiant $20 - $193 147%
Physicians Health Plan Northern Indiana Health Insurance $20 - $41 147%
St Joseph County Hlth Dpt $20 147%
Caresource $21 154%
Siho Insurance Services $22 161%
Key Benefit Administrator $25 - $144 183%
Allied Benefit Systems $26 - $151 191%
Blue Benefit Administrators Of Massachusetts $27 198%
Blue Care Network $27 198%
Blue Distinction Transplant $27 198%
Blue Shield - Ca $27 198%
Blue Shield - Id (Regence) $27 198%
Blue Shield - Ny Highmark Northeastern $27 198%
Blue Shield - Ny Highmark Western $27 198%
Blue Shield - Pa (Highmark) $27 198%
Blue Shield - Wa (Regence) $27 198%
Custom Design Benefits $29 213%
Hospice Of Marshall County $60 440%
Hospice Of St Joseph County $60 440%
Plain Church Group $63 462%
Asr Health Benefits $113 829%
Christian Brother Services $113 829%
Employee Benefit Management $113 829%
Medical Mutual $113 829%
Meritain $113 829%
Preferred One $113 829%
Rural Carrier Health Benefit Plan $113 829%
Webtpa $113 829%
Notre Dame Athletic Association $128 939%
Wc Notre Dame $128 939%
Luminare Health (Detroit) $132 - $139 968%
Encore Health $137 - $144 1005%
Ameriben $139 1020%
Indiana Criminal Justice Inst $144 1056%
Western & Southern Financial Group $144 1056%
Cigna $148 1086%
Geha $148 1086%
Group Administrators $148 1086%
Health Partners $148 1086%
Healthscope $148 1086%
Mvp $148 1086%
Prairie States $148 1086%
Priority Health $148 1086%
Professional Benefit Administrators $148 1086%
Sagamore Health Network $148 - $172 1086%
Sisco Benefits $148 1086%
Student Insurance Cma $148 1086%
Unified Group Services $148 1086%
Goshen Preferred Network $179 - $200 1313%
Christian Brothers Holy Cross $186 1365%
Signature Care $186 1365%
Bankers Life Casualty $232 1702%
Bureau Of Disability $232 1702%
Wc Align Network $232 1702%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals