CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Progress West Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $63
Cash Discount Price: $58
vs. Medicare Baseline: 4.62x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Progress West Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.62x the Medicare baseline. Located in 2 Progress Point Pkwy, Ofallon, MO.

Cash / Self-Pay

$58

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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: $58 (426%)

Insurance Median: $63 (462%)

Cash: $58 (426% of Medicare)

Ins. Median: $63 (462% 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 462% of the Medicare baseline (a markup of 362%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$14 - $72	103%
Healthscope Benefits [258]	$16	117%
Cigna	$19 - $29	139%
Aetna	$24 - $73	176%
Allied Benefits [498]	$24 - $72	176%
Consociate [478]	$24	176%
Coresource [497]	$24	176%
Fmh Benefit Service Inc [222]	$24	176%
Mail Handlers [495]	$24	176%
Sarah Bush Lincoln [636]	$24	176%
Apwu Health Plan [216]	$29	213%
Nalc Health Benefit Plan [242]	$29	213%
Priority Health [648]	$29	213%
Blue Cross Blue Shield	$32 - $84	235%
Humana	$38	279%
Healthlink [225]	$47 - $73	345%
Cox Health Systems Insurance Company [220]	$53 - $63	389%
Health Alliance [224]	$53	389%
Hope Trust [806]	$56	411%
Med-Pay [480]	$63 - $73	462%
Unicare [568]	$63 - $73	462%
First Health Commercial [734]	$72	528%
Beechstreet [551]	$73	536%
Detego Health [868]	$73	536%
Health Systems Inc [620]	$73	536%
Healthcare Sol Mercy [609]	$73	536%
Multiplan Commercial [737]	$73	536%
Multiplan [240]	$73	536%
Phcs [244]	$73 - $78	536%
Preferred Health Professionals [561]	$73	536%
Hfn [563]	$78	572%
Medica [661]	$78	572%
Mh Magellan Health Services [270]	$97	712%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $58.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82728.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Progress West Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82728.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.