Blood test, ferritin (iron stores)
Facility: Kiowa County Memorial Hospital
Billing Code: 82728 (CPT)
- CPT Billing Code: 82728
- Insurance Median: $147
- Cash Discount Price: $140
- vs. Medicare Baseline: 10.79x 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 1079% of the Medicare baseline (a markup of 979%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $53 - $147 | 389% |
| UnitedHealthcare | $132 - $165 | 968% |
| Health Partners Of Ks-All Plans | $145 | 1064% |
| Humana | $147 | 1079% |
| Celtic Comml Exchange-All Other Plans | $147 | 1079% |
| Medica Prime Mcare Cost-All Plans | $147 | 1079% |
| Aetna | $147 | 1079% |
| Medicaid / KanCare | $165 | 1211% |
| Providrs Care/Wppa-All Plans | $248 | 1820% |
Consumer Guidance & Cost Commentary
For this blood test for ferritin at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash price is $140.00, which is lower than the median negotiated rate of $147.00 paid by most insurance plans. While the gross charge is $165.00, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that Medicaid/KanCare and several other payers have negotiated rates as high as $165.00, matching the gross charge, whereas the cash rate remains the lowest option available for self-pay patients.
Facility pricing should be evaluated against the Medicare benchmark of $13.63 to understand the true cost basis, as commercial rates are frequently marked up significantly above this federal standard. Although the data does not provide specific county or state average comparisons for this specific CPT code, the facility's ownership is Government-Local, which may influence pricing structures compared to private entities. Consumers should verify their specific plan details before scheduling, as some in-network members might face higher out-of-pocket costs if their deductible has not been met or if their plan does not cover this specific service.