Blood test, ferritin (iron stores)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 82728 (CPT)
- CPT Billing Code: 82728
- Insurance Median: $53
- Cash Discount Price: $67
- vs. Medicare Baseline: 3.89x 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 389% of the Medicare baseline (a markup of 289%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $18 | 132% |
| UnitedHealthcare | $21 - $74 | 154% |
| Berkley Net-All Plans | $30 | 220% |
| Meritain Health-All Plans | $33 | 242% |
| Trustmark Health Benefits-All Plans | $33 | 242% |
| Aetna | $33 - $50 | 242% |
| Ambetter / Centene | $36 | 264% |
| Pinnacol-All Plans | $41 | 301% |
| Axa Equitable - All Plans | $41 | 301% |
| Medi-Share-All Plans | $42 | 308% |
| Presbyterian-All Plans | $45 | 330% |
| Kasb Work Comp - All Plans | $47 | 345% |
| The Kempton Group Admin-All Plans | $51 | 374% |
| Auxiant - All Plans | $52 | 382% |
| Gpha(Wppa)-All Other Plans | $52 | 382% |
| Sisco-All Plans | $53 | 389% |
| Wppa- All Plans | $53 | 389% |
| Providers Care Network- All Plans | $53 | 389% |
| Emc-All Plans | $53 | 389% |
| Gpha Employee Benefit Plan | $54 | 396% |
| Triangle-All Plans | $56 | 411% |
| First Health -All Plans | $56 | 411% |
| Regional Care(Wppa)-All Plans | $56 | 411% |
| Employee Benefit-All Plans | $56 | 411% |
| One Call Physician-All Plans | $57 | 418% |
| Blue Cross Blue Shield | $58 | 426% |
| Christian Hospital Aid - All Plans | $59 | 433% |
| Tricare | $59 | 433% |
| Humana | $64 | 470% |
| Luminare Health- All Plans | $65 | 477% |
| Cigna | $65 | 477% |
| Coresource-All Plans | $67 | 492% |
| Deseret Mutual(Uhis)-All Plans | $67 | 492% |
| Vaccn-All Plans | $68 | 499% |
| Reserve National-All Plans | $70 | 514% |
| Wps Vapc-All Plans | $70 | 514% |
| Hma Llc-All Plans | $70 | 514% |
| Medicaid / KanCare | $74 | 543% |
Consumer Guidance & Cost Commentary
For the CPT code 82728, representing a blood test for ferritin (iron stores), the facility's cash median price is $67.00, which is $1.00 higher than the state average of $66.00. While the facility's negotiated rates range from $18 to $74 across 38 payers, the median negotiated amount is $53.00, which is $14.00 lower than the cash price. This price structure suggests that for patients with high-deductible plans, paying the cash price of $67.00 upfront may be more cost-effective than relying on insurance, as the insurer's average allowed amount of $56.00 could still result in significant out-of-pocket costs if the patient's deductible has not yet been met.
To minimize costs, patients should verify their specific plan's negotiated rate before scheduling, as these vary significantly by carrier, with the lowest being $18.00 and the highest $74.00. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full prior to service. It is important to note that the facility's gross charge of $74.00 is substantially higher than the Medicare benchmark of $13.63, illustrating the typical markup found in commercial billing; therefore, comparing the final allowed amount to the Medicare rate provides a clearer picture of fair pricing than comparing it to the inflated chargemaster list.