CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Essentia Health St Mary's Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $94
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 6.90x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Essentia Health St Mary's Medical Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.90x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $114 (836%)
Insurance Median: $94 (690%)
Cash: $114 (836% of Medicare)
Ins. Median: $94 (690% 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 690% of the Medicare baseline (a markup of 590%). 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
Advocare/Security Health $14 103%
Blue Cross Blue Shield $14 - $167 103%
Freedom Blue Ppo $14 103%
Healthpartners Care Msho / Mcr Adv $14 103%
Imcare Msho (Ref Req) $14 103%
Imcare Msho Pcc Prime $14 103%
Imcare Msho Ref Req $14 103%
Itasca Med Care $14 103%
Medica Advantage Solutions $14 103%
Medica Msho/Dual Solutions $14 103%
Medica Prime Solution Group $14 103%
Medicare (plans) $14 103%
Nd Va Administration $14 103%
Platinum Blue / Vantage Blue $14 103%
Primewest $14 103%
Primewest Msho $14 103%
Secure Blue Msho $14 103%
Ubh Cost Plan $14 103%
Ubh Msho $14 103%
Ucare Msho $14 103%
UnitedHealthcare $14 - $161 103%
Medica Access $42 - $73 308%
Sanford Health Plan $44 - $99 323%
Healthpartners Care Pmap $50 - $88 367%
Blue Plus Pmap Pcc Prime $56 - $110 411%
Medica $70 - $125 514%
Medica Uplan $70 - $122 514%
Healthpartners $75 - $157 550%
Medica Choice $77 - $134 565%
Ucare $83 - $145 609%
Cigna $90 - $157 660%
Healthpartners Pcc Prime $90 - $157 660%
Wea $91 - $169 668%
Security Health $97 - $169 712%
America'S Ppo $98 - $170 719%
Wps $105 - $185 770%
Aetna $107 - $187 785%
Healthscope Benefits $107 - $187 785%
Healtheos $108 - $189 792%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals