CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $95
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 6.97x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Munson Healthcare Otsego Memorial Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.97x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $129 (946%)
Insurance Median: $95 (697%)
Cash: $129 (946% of Medicare)
Ins. Median: $95 (697% 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 697% of the Medicare baseline (a markup of 597%). 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
UnitedHealthcare $5 - $148 37%
Blue Cross Blue Shield $7 - $115 51%
Mclaren Health Plan $7 - $155 51%
Meridian $7 51%
Molina $7 - $15 51%
Priority Health $7 - $27 51%
Aetna $12 - $149 88%
Blue Care Network $14 103%
Cigna $14 - $27 103%
Hap (Health Alliance Plan) $14 - $148 103%
Humana $14 103%
Medicare (plans) $14 103%
Michigan Amish Medical Board $14 103%
Northern Michigan Mennonite Group $14 103%
Employee Benefit Logistics $23 169%
Hospice Of Michigan $71 - $111 521%
Munson Hospice $83 - $852 609%
Asr Physicians Care Network $95 - $148 697%
Enterprise Group Planning/Employee Benefit Plan $95 - $148 697%
Nomi Health $95 - $148 697%
Cofinity $101 - $166 741%
Provider Network Of America/Hawaii Mainland Administrative Group Health $101 - $157 741%
Three Rivers Provider Network $101 - $157 741%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 825 N Center Ave, Gaylord, MI 49735
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals