CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Fairview Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $79
Cash Discount Price: $118
vs. Medicare Baseline: 5.80x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Fairview Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 5.80x the Medicare baseline. Located in 29 Lewis Avenue, Great Barrington, MA.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $118 (866%)

Insurance Median: $79 (580%)

Cash: $118 (866% of Medicare)

Ins. Median: $79 (580% 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 580% of the Medicare baseline (a markup of 480%). 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
Bmchnp	$12 - $14	88%
Health New England	$12 - $87	88%
Medicaid / KanCare	$12 - $14	88%
Aetna	$13 - $94	95%
Medicare (plans)	$13 - $47	95%
Point32Health	$13 - $118	95%
Capital District Physicians' Health Plan	$14 - $112	103%
Fallon	$14 - $55	103%
Hospice	$14 - $48	103%
Other Government	$14 - $48	103%
UnitedHealthcare	$14 - $107	103%
Blue Cross Blue Shield	$15 - $105	110%
Commcare Alliance	$16 - $47	117%
Comm Fallon Qhp	$20 - $76	147%
Unicare	$35 - $80	257%
Workers Comp	$79	580%
Allways Nhp	$80	587%
Comm Hne Hmo	$82 - $93	602%
Comm Hne Ppo	$87 - $93	638%
Cigna	$112 - $115	822%
Mvp	$112	822%
Oxford	$112	822%
First Health	$115 - $118	844%
Connecticare	$118	866%
Consolidated Health Plans	$118	866%
Other Commercial	$118	866%
Phcs	$118	866%
Self Pay	$118	866%

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 $118.
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 Fairview 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.