CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Essentia Health

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $94
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 6.90x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Essentia Health is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.90x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$165

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: $165 (1211%)
Insurance Median: $94 (690%)
Cash: $165 (1211% 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 - $148 103%
Freedom Blue Ppo $14 103%
Healthpartners Care Msho / Mcr Adv $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 - $175 103%
Medica Access $38 - $59 279%
Sanford Health Plan $44 - $99 323%
Healthpartners Care Pmap $55 - $86 404%
Medica $79 - $136 580%
Medica Uplan $79 - $122 580%
Medica Choice $90 - $139 660%
Ucare $93 - $145 682%
Cigna $95 - $147 697%
Healthpartners $95 - $147 697%
Healthpartners Pcc Prime $95 - $147 697%
Wea $102 - $169 748%
America'S Ppo $110 - $170 807%
Wps $119 - $185 873%
Aetna $121 - $187 888%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals