CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: William Newton Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $13
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at William Newton Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 0.95x the Medicare baseline. Located in 1300 East Fifth Avenue, Winfield, KS.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $53 (389%)
Insurance Median: $13 (95%)
Cash: $53 (389% of Medicare)
Ins. Median: $13 (95% 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.

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
Ambetter / Centene $3 - $98 22%
Blue Cross Blue Shield $3 - $51 22%
UnitedHealthcare $3 - $89 22%
Triwest- All Plans $3 - $34 22%
Providrs Care Nexus $5 - $60 37%
Providrs Care - All Other Plans $6 - $69 44%

Consumer Guidance & Cost Commentary

For the blood test procedure to measure ferritin (iron stores) at William Newton Hospital in Winfield, KS, the cash price is $53.00, which matches the facility's median negotiated rate. This cash price is significantly lower than the typical negotiated rates charged by major payers such as Ambetter / Centene, Blue Cross Blue Shield, and UnitedHealthcare, where allowed amounts range from $14.00 to $69.00 depending on the specific plan. While Medicare sets a benchmark of $13.63 for this service, the facility's cash rate of $53.00 is higher than the Medicare amount, suggesting that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly could result in lower total costs compared to using insurance, which may trigger balance billing if the provider is out-of-network or if ancillary services are billed separately.

Patients should be aware that hospitals often offer prompt-pay discounts for self-pay patients who settle their bill upfront, which can further reduce the $53.00 cash price. It is important to request this discount before scheduling the test to ensure the billing system classifies the service correctly and avoids automatic submission to insurance, which could void the cash agreement. Additionally, consumers should demand a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. By comparing the facility's rates to the Medicare benchmark and actively seeking prompt-pay options, patients can avoid unexpected balance bills and ensure they are paying a fair price for their care.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1300 East Fifth Avenue, Winfield, KS 67156
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals