CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: T J Samson Community Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $82
Cash Discount Price: $106
vs. Medicare Baseline: 6.02x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at T J Samson Community Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.02x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $106 (778%)

Insurance Median: $82 (602%)

Cash: $106 (778% of Medicare)

Ins. Median: $82 (602% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 602% of the Medicare baseline (a markup of 502%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$12 - $139	88%
Wellcare Mcaid	$13	95%
Devoted Mcr Adv - All Plans	$14	103%
Humana	$14 - $164	103%
Molina Mcr Adv	$14	103%
Signature Health - All Plans	$14	103%
Wellcare Mcr Adv - All Other Plans	$14	103%
Molina Marketplace - All Other Plans	$20	147%
Caresource - All Plans	$22	161%
UnitedHealthcare	$82	602%
Center Care Select - All Plans	$139	1020%
Phcs/Multiplan - All Plans	$153 - $154	1123%
First Health - All Plans	$155 - $156	1137%
Aetna	$163 - $164	1196%
Molina Mcaid	$168 - $169	1233%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $106.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82728.

Insurance In-Network Protection Plan

Contact your insurance company to confirm T J Samson Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82728.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.