CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Pulaski Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $87
  • Cash Discount Price: $187
  • vs. Medicare Baseline: 6.38x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Pulaski Memorial Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.38x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$187

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $187 (1372%)
Insurance Median: $87 (638%)
Cash: $187 (1372% of Medicare)
Ins. Median: $87 (638% 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 638% of the Medicare baseline (a markup of 538%). 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
Blue Cross Blue Shield $14 - $177 103%
Caresource Mcaid Hhw $14 103%
Cenpatico Mcaid Hhw - All Other Plans $14 103%
Mdwise Mcaid Hcc $14 103%
Mdwise Mcaid Hhw $14 103%
Mhs Mcaid Hhw/Hcc $14 103%
UnitedHealthcare $14 - $211 103%
Ambetter / Centene $83 609%
Caresource Mcaid Hip $83 609%
Caresource Mcare Hmo $83 609%
Cenpatico Mcaid Hip $83 609%
Humana $83 - $214 609%
Mdwise Mcaid Hip - All Other Plans $83 609%
Mhs Mcaid Hip $83 609%
Mhs Mcare Allwell $83 609%
Aetna $96 704%
Caresource Exch Hmo Hix - All Other Plans $103 756%
Sagamore Rose Acre $199 1460%
Sagamore - All Other Plans $201 1475%
Encore Ppo - All Other Plans $227 1665%
Community Health Alliance - All Plans $237 1739%
Encore Workers Comp $240 1761%
Multiplan - All Plans $240 1761%
Cigna $253 1856%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals