CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Essentia Health Ada

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $105
  • Cash Discount Price: $162
  • vs. Medicare Baseline: 7.70x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Essentia Health Ada is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 7.70x the Medicare baseline. Located in 201 9Th Street West, Ada, MN.
Cash / Self-Pay
$162

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $162 (1189%)
Insurance Median: $105 (770%)
Cash: $162 (1189% of Medicare)
Ins. Median: $105 (770% 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 770% of the Medicare baseline (a markup of 670%). 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 - $105 103%
Blue Cross Blue Shield $14 - $191 103%
Freedom Blue Ppo $14 - $105 103%
Healthpartners Care Msho / Mcr Adv $14 - $105 103%
Imcare Msho Pcc Prime $14 - $105 103%
Imcare Msho Ref Req $14 - $105 103%
Itasca Med Care $14 103%
Medica Advantage Solutions $14 - $105 103%
Medica Msho/Dual Solutions $14 - $105 103%
Medica Prime Solution Group $14 - $105 103%
Medicare (plans) $14 - $105 103%
Nd Va Administration $14 - $105 103%
Platinum Blue/Vantage Blue $14 - $105 103%
Primewest $14 103%
Primewest Msho $14 - $105 103%
Secure Blue Msho $14 - $105 103%
Ubh Cost Plan $14 - $105 103%
Ubh Msho $14 - $105 103%
Ucare Msho $14 - $105 103%
UnitedHealthcare $14 - $198 103%
Healthpartners Care Pmap $63 - $85 462%
Medica Access $64 - $136 470%
Sanford Health Plan $69 - $99 506%
Healthpartners $98 - $146 719%
Ucare $106 - $144 778%
Cigna $107 - $146 785%
Healthpartners Pcc Prime $107 - $146 785%
Wea $116 - $169 851%
Blue Plus Pmap Pcc Prime $120 - $191 880%
America'S Ppo $125 - $170 917%
Medica $134 - $192 983%
Medica Uplan $134 - $182 983%
Wps $135 - $184 990%
Aetna $137 - $186 1005%
Medica Choice $145 - $197 1064%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 9Th Street West, Ada, MN 56510
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals