CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $97
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 7.12x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Saint Joseph Regional Medical Center - Plymouth is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 7.12x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $129 (946%)
Insurance Median: $97 (712%)
Cash: $129 (946% of Medicare)
Ins. Median: $97 (712% 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 712% of the Medicare baseline (a markup of 612%). 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 - $97 59%
Blue Cross Blue Shield $8 - $27 59%
Medicaid / KanCare $8 - $14 59%
UnitedHealthcare $8 - $126 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 - $164 147%
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 - $139 183%
Allied Benefit Systems $26 - $129 191%
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%
Plain Church Group $53 389%
Asr Health Benefits $97 712%
Christian Brother Services $97 712%
Employee Benefit Management $97 712%
Medical Mutual $97 712%
Meritain $97 712%
Preferred One $97 712%
Rural Carrier Health Benefit Plan $97 712%
Webtpa $97 712%
Notre Dame Athletic Association $109 800%
Wc Notre Dame $109 800%
Luminare Health (Detroit) $113 - $119 829%
Ameriben $119 873%
Geha $126 924%
Healthscope $126 924%
Student Insurance Cma $126 924%
Encore Health $139 1020%
Indiana Criminal Justice Inst $139 1020%
Western & Southern Financial Group $139 1020%
Cigna $143 1049%
Group Administrators $143 1049%
Health Partners $143 1049%
Mvp $143 1049%
Prairie States $143 1049%
Priority Health $143 1049%
Professional Benefit Administrators $143 1049%
Sagamore Health Network $143 - $152 1049%
Sisco Benefits $143 1049%
Unified Group Services $143 1049%
Goshen Preferred Network $152 - $170 1115%
Signature Care $164 1203%
Allied National Global Care $178 1306%
Asrm - Reliance Standard Life Insurance $178 1306%
Avmed Health Plan $178 1306%
Christian Care Ministry $178 1306%
Dean Health $178 1306%
Fallon Health $178 1306%
Family Life Insurance Company $178 1306%
Freedom Life Insurance Company $178 1306%
Ghc Scw $178 1306%
International Benefit Administrators $178 1306%
Lifetime Benefit Solutions $178 1306%
Manhattan Life $178 1306%
Medi Share $178 1306%
Multiplan $178 1306%
Pai $178 1306%
Pan-American Life $178 1306%
Paramount Hmo $178 1306%
Phcs $178 1306%
Philadelphia American Life Insurance $178 1306%
Trinity Health Share $178 1306%
Bankers Life Casualty $198 1453%
Bureau Of Disability $198 1453%
Wc Align Network $198 1453%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals