Blood test, ferritin (iron stores)
Facility: Rooks County Health Center
Billing Code: 82728 (CPT)
- CPT Billing Code: 82728
- Insurance Median: $93
- Cash Discount Price: $78
- vs. Medicare Baseline: 6.82x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 682% of the Medicare baseline (a markup of 582%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Admin - All Plans | $14 | 103% |
| Tricare | $49 | 360% |
| Celtic Mcr Adv | $49 | 360% |
| Blue Cross Blue Shield | $53 | 389% |
| Celtic Comm - All Other Plans | $54 | 396% |
| Preferred Benefits Admin | $93 | 682% |
| Aetna | $93 | 682% |
| UnitedHealthcare | $93 | 682% |
| Preferred Hlthcare - All Other Plans | $98 | 719% |
| Health Partners - All Plans | $98 | 719% |
| Healthy Blue Mcaid - All Plans | $104 | 763% |
Consumer Guidance & Cost Commentary
For the blood test for ferritin (iron stores) at Rooks County Health Center in Plainville, Kansas, the facility's cash price of $78.00 is notably lower than the state average of $104.00 and the county average of $93.00. While the facility is a Critical Access Hospital with government ownership, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than using insurance, as the negotiated rates for commercial payers range from $49 to $104. This price difference highlights how commercial contracts often inflate costs above cash rates, making it worth verifying the specific allowed amount for your plan before scheduling to ensure you are not paying the full negotiated ceiling.
The facility's Medicare benchmark rate of $13.63 serves as a critical baseline for understanding the markup on this service, with the cash price representing a significant increase over the federal standard. Although the facility does not have a published consumer rating, the data indicates that the median amount paid by insurers was $73.00, which is lower than the gross charge but still higher than the cash option. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount prior to check-in, as these upfront payment incentives can further reduce the final bill by bypassing administrative fees and insurance processing costs.