CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Southcoast Hospitals Group

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $16
Cash Discount Price: $55
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Southcoast Hospitals Group is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 1.17x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$16

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: $55 (404%)

Insurance Median: $16 (117%)

Cash: $55 (404% of Medicare)

Ins. Median: $16 (117% 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.

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
Aetna	$14 - $84	103%
Blue Cross Blue Shield	$14 - $27	103%
Commonwealth Care Alliance [1080501]	$14	103%
Evercare [1010304]	$14	103%
Medicare (plans)	$14 - $27	103%
Tufts Health Public Plans [1010213]	$14	103%
Tufts Senior Care Options [1010315]	$14	103%
UnitedHealthcare	$14 - $16	103%
Wellsense Health Plan Senior Care Options [1020208	$14	103%
Eternal Health [1010322]	$15	110%
Fallon [1000114]	$19	139%
Wellsense Health Plan Clarity Connectorcare & Meta	$24	176%
Harvard Pilgrim [1010602]	$29	213%
Cigna	$31	227%
Wellpoint [1000102]	$42	308%
Tufts [1010701]	$46	337%
Mass General Brigham Health Plan Commercial [10122	$62	455%
Mass General Brigham Health Plan Connectorcare [10	$62	455%
Group Insurance Service Center [1013001]	$66	484%
Innovative Health Plan [1025001]	$66	484%
Priority Health [1015001]	$66	484%
PHCS [1000125]	$72	528%
First Health [1000130]	$84	616%

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 $55.
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 Southcoast Hospitals Group 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.