Blood test, ferritin (iron stores)
Facility: Great Plains Of Sabetha
Billing Code: 82728 (CPT)
- CPT Billing Code: 82728
- Insurance Median: $68
- Cash Discount Price: $72
- vs. Medicare Baseline: 4.99x 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 499% of the Medicare baseline (a markup of 399%). 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 |
|---|---|---|
| Celtic Mcr Adv | $37 | 271% |
| Aetna | $38 - $73 | 279% |
| Celtic Comm Exchange-All Other Plans | $47 | 345% |
| Great West Healthcare-All Plans | $61 | 448% |
| UnitedHealthcare | $67 - $72 | 492% |
| Multiplan-Phcs-All Plans | $68 | 499% |
| Humana | $68 | 499% |
| Century/Wppa/Providers-All Plans | $68 | 499% |
| Cigna | $68 | 499% |
| Federated Mutual Ins-All Plans | $69 | 506% |
| Blue Cross Blue Shield | $72 | 528% |
| Medicaid / KanCare | $72 | 528% |
Consumer Guidance & Cost Commentary
For the blood test procedure for ferritin (iron stores) at Great Plains Of Sabetha in Sabetha, Kansas, the facility's cash median price is $72.00, which matches the gross chargemaster rate. This cash price is notably higher than the state average of $61.00, meaning patients paying out-of-pocket may be paying more than the typical rate in Kansas. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the lack of a negotiated rate for cash payers suggests that commercial insurance members might face higher costs than expected. It is important to note that for patients with high-deductible plans, the cash price of $72.00 could actually be cheaper than the negotiated rates charged by in-network insurers, which range from $37 to $73 depending on the specific plan.
Commercial insurance carriers have negotiated rates that vary significantly, with the lowest allowed amount being $37 and the highest at $73 across twelve different payers. The median negotiated rate is $68.00, which is still higher than the cash price, but some specific plans, such as Celtic Mcr Adv, have a fixed allowed amount of $37.00. When comparing these commercial rates to the Medicare benchmark of $13.63, the facility's pricing reflects a substantial markup, consistent with the industry standard where commercial rates often exceed Medicare rates by 200% to 300%. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, they should still verify their specific plan's allowed amount before scheduling to ensure they are not paying more