CMS Price Transparency Data
Blood test, ferritin (iron stores)
Facility: Mercy Health Saint Mary's
Billing Code: 82728 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82728
- Insurance Median: $66
- Cash Discount Price: $59
- vs. Medicare Baseline: 4.84x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Mercy Health Saint Mary's is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.84x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$59
Average discount available for prompt cash payment at this facility.
Insurance Median
$66
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: $59 (433%)
Insurance Median: $66 (484%)
Cash: $59 (433% of Medicare)
Ins. Median: $66 (484% 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 484% of the Medicare baseline (a markup of 384%). 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.
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 | $7 - $18 | 51% |
| Medicaid / KanCare | $7 - $8 | 51% |
| Access Health | $10 | 73% |
| Aetna | $13 - $40 | 95% |
| Blue Care Network Advantage | $13 | 95% |
| Medicare (plans) | $13 | 95% |
| Align Senior Care | $14 | 103% |
| Correctional Recovery | $14 | 103% |
| Hospice Faith | $14 | 103% |
| Hospice Of Holland | $14 | 103% |
| Oscar | $14 | 103% |
| UnitedHealthcare | $14 - $90 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $15 | 110% |
| U Of M Health Plan | $16 - $68 | 117% |
| Bcn Domestic | $18 | 132% |
| Blue Benefit Administrators Of Massachusetts | $18 | 132% |
| Blue Care Network | $18 | 132% |
| Blue Distinction Transplant | $18 | 132% |
| Blue Shield - Ca | $18 | 132% |
| Blue Shield - Id (Regence) | $18 | 132% |
| Blue Shield - Ny Highmark Northeastern | $18 | 132% |
| Blue Shield - Ny Highmark Western | $18 | 132% |
| Blue Shield - Pa (Highmark) | $18 | 132% |
| Blue Shield - Wa (Regence) | $18 | 132% |
| Health Choices | $18 - $68 | 132% |
| Kaiser Domestic | $18 | 132% |
| Molina Marketplace | $18 | 132% |
| Geha | $20 - $68 | 147% |
| Medical Mutual | $20 | 147% |
| Meritain | $20 | 147% |
| Preferred One | $20 | 147% |
| Vitalcore | $21 | 154% |
| Wellpath | $21 | 154% |
| Wc Accident Fund | $49 | 360% |
| Wc Advantage | $49 | 360% |
| Wc Aig | $49 | 360% |
| Wc Allied | $49 | 360% |
| Wc Amerisure | $49 | 360% |
| Wc Amtrust | $49 | 360% |
| Wc Asu Risk Mgt | $49 | 360% |
| Wc Berkley Admin | $49 | 360% |
| Wc Broadspire | $49 | 360% |
| Wc Bunch & Associates | $49 | 360% |
| Wc Ccmsi | $49 | 360% |
| Wc Emc Insurance Company | $49 | 360% |
| Wc Esis | $49 | 360% |
| Wc Fcci | $49 | 360% |
| Wc Federated | $49 | 360% |
| Wc Gallagher Bassett | $49 | 360% |
| Wc Genex Care For Ohio | $49 | 360% |
| Wc Guard Insurance Company | $49 | 360% |
| Wc Hartford | $49 | 360% |
| Wc Liberty Mutual | $49 | 360% |
| Wc Meijers | $49 | 360% |
| Wc Michigan | $49 | 360% |
| Wc Mitchell Frankenmuth | $49 | 360% |
| Wc Pma | $49 | 360% |
| Wc Sedgwick | $49 | 360% |
| Wc Sentry | $49 | 360% |
| Wc Travelers | $49 | 360% |
| Wc Tristar | $49 | 360% |
| Wc Walmart | $49 | 360% |
| Wc Zurich | $49 | 360% |
| Nomi Health | $50 | 367% |
| Acs Benefit Services | $52 | 382% |
| Allied Benefit Systems | $52 | 382% |
| Claimchoice Adminstrators | $52 | 382% |
| Consociate | $52 | 382% |
| Cypress Benefit Administrators | $52 | 382% |
| Forest County Potawatomi | $52 | 382% |
| Health Smart | $52 | 382% |
| Healthgram | $52 | 382% |
| Healthscope | $52 | 382% |
| Secureone Preferred United Plans | $52 | 382% |
| Sisco Benefits | $52 | 382% |
| The Health Plan | $52 | 382% |
| Trustmark Small Business Benefits | $52 | 382% |
| Unified Group Services | $52 | 382% |
| Webtpa | $52 | 382% |
| Asr Health Benefits | $57 | 418% |
| Hap | $57 - $70 | 418% |
| Varipro | $58 | 426% |
| Caresource | $59 | 433% |
| 1199 National Benefit Fund | $66 | 484% |
| Allied National Global Care | $66 | 484% |
| Asrm - Reliance Standard Life Insurance | $66 | 484% |
| Christian Care Ministry | $66 | 484% |
| Cigna | $66 | 484% |
| Dean Health | $66 | 484% |
| Fallon Health | $66 | 484% |
| Family Life Insurance Company | $66 | 484% |
| Ghc Scw | $66 | 484% |
| Group Pension Administrators | $66 | 484% |
| International Benefit Administrators | $66 | 484% |
| Lifetime Benefit Solutions | $66 | 484% |
| Manhattan Life | $66 | 484% |
| Medi Share | $66 | 484% |
| Multiplan | $66 | 484% |
| Mvp | $66 | 484% |
| Pai | $66 | 484% |
| Pan-American Life | $66 | 484% |
| Paramount Hmo | $66 | 484% |
| Phcs | $66 | 484% |
| Trinity Health Share | $66 | 484% |
| Acclaim | $68 | 499% |
| Administrative Concepts | $68 | 499% |
| Allegeant | $68 | 499% |
| Ameriben | $68 | 499% |
| American Family | $68 | 499% |
| American Healthcare Alliance | $68 | 499% |
| American Republic | $68 | 499% |
| Amerihealth | $68 | 499% |
| Aultcare | $68 | 499% |
| Automated Benefit Services | $68 | 499% |
| Auxiant | $68 | 499% |
| Benefit Administrative Systems,Llc | $68 | 499% |
| Boon Chapman | $68 | 499% |
| Cam Administrative Services | $68 | 499% |
| Christian Brother Services | $68 | 499% |
| Christian Brothers Holy Cross | $68 | 499% |
| Comprehensive Benefits | $68 | 499% |
| Continental Life Insurance | $68 | 499% |
| Custom Benefit Administrators | $68 | 499% |
| Employee Benefit Concepts | $68 | 499% |
| Employee Benefit Management | $68 | 499% |
| Enterprise Group Planning | $68 | 499% |
| Freedom Life Insurance Company | $68 | 499% |
| Group Administrators | $68 | 499% |
| Group Marketing Services | $68 | 499% |
| Guardian | $68 | 499% |
| Health America | $68 | 499% |
| Healthez | $68 | 499% |
| Humana | $68 - $90 | 499% |
| Insight | $68 | 499% |
| Intercare | $68 | 499% |
| Jfp Benefit Management | $68 | 499% |
| Jp Farley Corporation | $68 | 499% |
| Key Benefit Administrator | $68 | 499% |
| Liberty Union Life Assurance Co | $68 | 499% |
| Lucent Health | $68 | 499% |
| Luminare Health | $68 | 499% |
| Luminare Health (Detroit) | $68 | 499% |
| Medben | $68 | 499% |
| Medcost | $68 | 499% |
| Mutual Health Services | $68 | 499% |
| Mutual Of Omaha | $68 | 499% |
| Ncas | $68 | 499% |
| Nippon Life Ins | $68 | 499% |
| Nova | $68 | 499% |
| Painters Union Insurance Fund | $68 | 499% |
| Physicians Mutual | $68 | 499% |
| Plumbers Local 98 Insurance Fund | $68 | 499% |
| Prairie States | $68 | 499% |
| Primary Physician Care | $68 | 499% |
| Professional Benefit Administrators | $68 | 499% |
| The Loomis Company | $68 | 499% |
| Unicare | $68 | 499% |
| Us Health And Life | $68 | 499% |
| Valenz | $68 | 499% |
| Western & Southern Financial Group | $68 | 499% |
| Wps | $68 | 499% |
| Coventry | $71 | 521% |
| First Health | $71 | 521% |
| Priority Health | $83 - $84 | 609% |
| Cmh Allegan County | $90 | 660% |
| Cmh Ausable Valley | $90 | 660% |
| Cmh Barry County | $90 | 660% |
| Cmh Berrien County | $90 | 660% |
| Cmh Cass County | $90 | 660% |
| Cmh Clinton-Eaton-Ingham County | $90 | 660% |
| Cmh Kalamazoo | $90 | 660% |
| Cmh Kent County | $90 | 660% |
| Cmh Lenawee County | $90 | 660% |
| Cmh Misc | $90 | 660% |
| Cmh Monroe County | $90 | 660% |
| Cmh Montcalm County | $90 | 660% |
| Cmh Muskegon County | $90 | 660% |
| Cmh Newaygo County | $90 | 660% |
| Cmh North Country | $90 | 660% |
| Cmh Northern Lakes County | $90 | 660% |
| Cmh Ottawa County | $90 | 660% |
| Cmh Van Buren County | $90 | 660% |
| Cmh West Mi County | $90 | 660% |
| Magellan Behavioral Health | $90 | 660% |