CMS Price Transparency Data
Blood test, ferritin (iron stores)
Facility: Mercy Health Lakeshore Campus
Billing Code: 82728 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82728
- Insurance Median: $77
- Cash Discount Price: $59
- vs. Medicare Baseline: 5.65x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Mercy Health Lakeshore Campus is $77. 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 5.65x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$59
Average discount available for prompt cash payment at this facility.
Insurance Median
$77
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: $77 (565%)
Cash: $59 (433% of Medicare)
Ins. Median: $77 (565% 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 565% of the Medicare baseline (a markup of 465%). 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 | $10 - $77 | 73% |
| Medicaid / KanCare | $10 | 73% |
| Blue Care Network Advantage | $13 | 95% |
| Medicare (plans) | $13 - $22 | 95% |
| Access Health | $16 | 117% |
| U Of M Health Plan | $16 - $81 | 117% |
| Wellpath | $21 | 154% |
| Aetna | $22 - $72 | 161% |
| Align Senior Care | $22 | 161% |
| Correctional Recovery | $22 | 161% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $25 | 183% |
| Oscar | $28 | 205% |
| Vitalcore | $30 | 220% |
| UnitedHealthcare | $32 - $81 | 235% |
| Molina Marketplace | $37 | 271% |
| Hospice Of Michigan | $50 | 367% |
| Nomi Health | $50 | 367% |
| Hap | $67 - $80 | 492% |
| Wc Accident Fund | $71 | 521% |
| Wc Advantage | $71 | 521% |
| Wc Aig | $71 | 521% |
| Wc Allied | $71 | 521% |
| Wc Amerisure | $71 | 521% |
| Wc Amtrust | $71 | 521% |
| Wc Asu Risk Mgt | $71 | 521% |
| Wc Berkley Admin | $71 | 521% |
| Wc Broadspire | $71 | 521% |
| Wc Bunch & Associates | $71 | 521% |
| Wc Ccmsi | $71 | 521% |
| Wc Emc Insurance Company | $71 | 521% |
| Wc Esis | $71 | 521% |
| Wc Fcci | $71 | 521% |
| Wc Federated | $71 | 521% |
| Wc Gallagher Bassett | $71 | 521% |
| Wc Genex Care For Ohio | $71 | 521% |
| Wc Guard Insurance Company | $71 | 521% |
| Wc Hartford | $71 | 521% |
| Wc Liberty Mutual | $71 | 521% |
| Wc Meijers | $71 | 521% |
| Wc Michigan | $71 | 521% |
| Wc Mitchell Frankenmuth | $71 | 521% |
| Wc Pma | $71 | 521% |
| Wc Sedgwick | $71 | 521% |
| Wc Sentry | $71 | 521% |
| Wc Travelers | $71 | 521% |
| Wc Tristar | $71 | 521% |
| Wc Walmart | $71 | 521% |
| Wc Zurich | $71 | 521% |
| Geha | $72 - $81 | 528% |
| Meritain | $72 | 528% |
| Asr Health Benefits | $75 | 550% |
| 1199 National Benefit Fund | $77 | 565% |
| Allied National Global Care | $77 | 565% |
| Asrm - Reliance Standard Life Insurance | $77 | 565% |
| Bcn Domestic | $77 | 565% |
| Blue Benefit Administrators Of Massachusetts | $77 | 565% |
| Blue Care Network | $77 | 565% |
| Blue Distinction Transplant | $77 | 565% |
| Blue Shield - Ca | $77 | 565% |
| Blue Shield - Id (Regence) | $77 | 565% |
| Blue Shield - Ny Highmark Northeastern | $77 | 565% |
| Blue Shield - Ny Highmark Western | $77 | 565% |
| Blue Shield - Pa (Highmark) | $77 | 565% |
| Blue Shield - Wa (Regence) | $77 | 565% |
| Christian Care Ministry | $77 | 565% |
| Dean Health | $77 | 565% |
| Fallon Health | $77 | 565% |
| Family Life Insurance Company | $77 | 565% |
| Ghc Scw | $77 | 565% |
| Group Pension Administrators | $77 | 565% |
| Health Choices | $77 - $81 | 565% |
| International Benefit Administrators | $77 | 565% |
| Kaiser Domestic | $77 | 565% |
| Lifetime Benefit Solutions | $77 | 565% |
| Manhattan Life | $77 | 565% |
| Medi Share | $77 | 565% |
| Multiplan | $77 | 565% |
| Mvp | $77 | 565% |
| Pai | $77 | 565% |
| Pan-American Life | $77 | 565% |
| Paramount Hmo | $77 | 565% |
| Phcs | $77 | 565% |
| Trinity Health Share | $77 | 565% |
| Cigna | $78 | 572% |
| Caresource | $80 | 587% |
| Acclaim | $81 | 594% |
| Administrative Concepts | $81 | 594% |
| Allegeant | $81 | 594% |
| Allied Benefit Systems | $81 | 594% |
| Ameriben | $81 | 594% |
| American Family | $81 | 594% |
| American Healthcare Alliance | $81 | 594% |
| American Republic | $81 | 594% |
| Amerihealth | $81 | 594% |
| Aultcare | $81 | 594% |
| Automated Benefit Services | $81 | 594% |
| Auxiant | $81 | 594% |
| Benefit Administrative Systems,Llc | $81 | 594% |
| Boon Chapman | $81 | 594% |
| Cam Administrative Services | $81 | 594% |
| Christian Brother Services | $81 | 594% |
| Christian Brothers Holy Cross | $81 | 594% |
| Claimchoice Adminstrators | $81 | 594% |
| Comprehensive Benefits | $81 | 594% |
| Consociate | $81 | 594% |
| Continental Life Insurance | $81 | 594% |
| Custom Benefit Administrators | $81 | 594% |
| Cypress Benefit Administrators | $81 | 594% |
| Employee Benefit Concepts | $81 | 594% |
| Employee Benefit Management | $81 | 594% |
| Enterprise Group Planning | $81 | 594% |
| First Health | $81 | 594% |
| Forest County Potawatomi | $81 | 594% |
| Freedom Life Insurance Company | $81 | 594% |
| Group Administrators | $81 | 594% |
| Group Marketing Services | $81 | 594% |
| Guardian | $81 | 594% |
| Health America | $81 | 594% |
| Health Smart | $81 | 594% |
| Healthez | $81 | 594% |
| Healthgram | $81 | 594% |
| Healthscope | $81 | 594% |
| Humana | $81 | 594% |
| Insight | $81 | 594% |
| Intercare | $81 | 594% |
| Jfp Benefit Management | $81 | 594% |
| Jp Farley Corporation | $81 | 594% |
| Key Benefit Administrator | $81 | 594% |
| Liberty Union Life Assurance Co | $81 | 594% |
| Lucent Health | $81 | 594% |
| Luminare Health | $81 | 594% |
| Luminare Health (Detroit) | $81 | 594% |
| Medben | $81 | 594% |
| Medcost | $81 | 594% |
| Medical Mutual | $81 | 594% |
| Mutual Health Services | $81 | 594% |
| Mutual Of Omaha | $81 | 594% |
| Ncas | $81 | 594% |
| Nippon Life Ins | $81 | 594% |
| Nova | $81 | 594% |
| Painters Union Insurance Fund | $81 | 594% |
| Physicians Mutual | $81 | 594% |
| Plumbers Local 98 Insurance Fund | $81 | 594% |
| Prairie States | $81 | 594% |
| Primary Physician Care | $81 | 594% |
| Priority Health | $81 | 594% |
| Professional Benefit Administrators | $81 | 594% |
| Secureone Preferred United Plans | $81 | 594% |
| The Loomis Company | $81 | 594% |
| Trustmark Small Business Benefits | $81 | 594% |
| Unicare | $81 | 594% |
| Unified Group Services | $81 | 594% |
| Us Health And Life | $81 | 594% |
| Valenz | $81 | 594% |
| Varipro | $81 | 594% |
| Western & Southern Financial Group | $81 | 594% |
| Wps | $81 | 594% |