CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Lexington Memorial Hospital Inc

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $68
Cash Discount Price: $78
vs. Medicare Baseline: 4.99x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Lexington Memorial Hospital Inc is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.99x the Medicare baseline. Located in 250 Hospital Drive Po Box 1817, Lexington, NC.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $78 (572%)

Insurance Median: $68 (499%)

Cash: $78 (572% of Medicare)

Ins. Median: $68 (499% 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 499% of the Medicare baseline (a markup of 399%). 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
Amerihealth	$23 - $25	169%
Blue Cross Blue Shield	$23 - $36	169%
Ambetter / Centene	$24	176%
Alliance	$25	183%
Carolina Complete	$25	183%
Healthy Blue	$25	183%
Partners	$25	183%
UnitedHealthcare	$25 - $69	183%
Vaya	$25	183%
Wellcare	$25	183%
Trillium	$26	191%
Medcost	$34 - $104	249%
Aetna	$44 - $143	323%
Oscar	$50 - $68	367%
Cigna	$67 - $69	492%
Directnet	$92	675%
Healthgram Lexington Home Brands	$112	822%
Healthgram	$124	910%
Private Healthcare Systems	$127	932%
Beechstreet	$136	998%
Humana	$136	998%
Multiplan	$140	1027%
National Provider Network	$140	1027%

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 $78.
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 Lexington Memorial Hospital Inc 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.