CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Mercy Hospital - Cassville

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $162
Cash Discount Price: $131
vs. Medicare Baseline: 11.89x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Mercy Hospital - Cassville is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 11.89x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $131 (961%)

Insurance Median: $162 (1189%)

Cash: $131 (961% of Medicare)

Ins. Median: $162 (1189% 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 1189% of the Medicare baseline (a markup of 1089%). 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
Aetna	$12 - $180	88%
Humana	$12 - $172	88%
Medicaid / KanCare	$12 - $105	88%
Blue Cross Blue Shield	$14 - $196	103%
Medicare (plans)	$14 - $87	103%
UnitedHealthcare	$19 - $192	139%
Dept Of Veteran Affairs Contracted [320106]	$69	506%
Tricare	$82	602%
Cherokee Nation Health Serv Contracted [320066]	$83	609%
Cigna	$83 - $192	609%
Cross Timbers Hospice [20098]	$83	609%
Elara Caring Aspire Hospice [20433]	$83	609%
Globalhealth Contracted [320145]	$83	609%
Halo Hcr Inc Hospice Contracted [320432]	$83	609%
Halo Hcr Inc Hospice [20432]	$83	609%
Indian Health Service Contracted [320198]	$83	609%
Kindful Hospice Contracted [320434]	$83	609%
Kindful Hospice [20434]	$83	609%
Medical Associates Health Contracted [320444]	$83	609%
Mercy Hospice Okc [20252]	$83	609%
Mercy Mgd Behavioral Health Contracted [320259]	$83	609%
Pace Of The Ozarks Contracted [320518]	$83	609%
Provider Partners Health Plans Contracted [320450]	$83	609%
Qual Choice Contracted [320325]	$83	609%
Healthscope Contracted [320182]	$84	616%
Administrative Payor Contracted [320005]	$91	668%
Centivo Contracted [320505]	$103	756%
Ambetter / Centene	$105	770%
Home State Health Plan Contracted [320187]	$105	770%
Novasys Contracted [320285]	$105	770%
Healthlink Contracted [320179]	$131 - $182	961%
Preferred Health Plan Contracted [320522]	$131	961%
Health Systems Inc Contracted [320174]	$162	1189%
Insurance System Inc Contracted [320465]	$162	1189%
Point C Contracted [320238]	$162 - $182	1189%
Point C [20238]	$162	1189%
United Medical Resources Contracted [320454]	$162 - $172	1189%
Workers Comp [20426]	$162 - $182	1189%
Municipal Health Plan Contracted [320271]	$164	1203%
Medica Contracted [320239]	$181	1328%
90 Degree Benefits Contracted [320436]	$182	1335%
Aither Health Contracted [320449]	$182	1335%
American Healthcare Alliance Contracted [320020]	$182	1335%
Auxiant Contracted [320462]	$182	1335%
Benefit Management Contracted [320052]	$182	1335%
Ebms Contracted [320493]	$182	1335%
Edison Health Solutions Contracted [320502]	$182	1335%
Evolutions Health Care Contracted [320124]	$182	1335%
Imagine 360 Contracted [320494]	$182	1335%
Mercy Benefit Admin Contracted [320251]	$182	1335%
Reflect Health Contracted [320492]	$182	1335%
Show-Me Health Administrators Contracted [320483]	$182	1335%
Usa Managed Care Org Contracted [320429]	$182	1335%
Yuzu Health Contracted [320521]	$182	1335%
First Health Contracted [320128]	$192	1409%
Multiplan Contracted [320270]	$192	1409%
Private Health Care Systems Contracted [320320]	$192	1409%

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 $131.
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 Mercy Hospital - Cassville 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.