CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Wooster Community Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $41
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 3.01x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Wooster Community Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 3.01x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $54 (396%)
Insurance Median: $41 (301%)
Cash: $54 (396% of Medicare)
Ins. Median: $41 (301% 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 301% of the Medicare baseline (a markup of 201%). 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
Blue Cross Blue Shield $10 - $16 73%
Tricare $13 95%
Buckeye Mcare $14 103%
Caresource Mcr Adv $14 103%
Humana $14 - $50 103%
Med Mutual Of Oh Mcr $14 103%
Molina Mcr $14 103%
Summacare Mcr $14 103%
The Health Plan Mcr Adv $14 103%
UnitedHealthcare $14 - $51 103%
Valor Hp Mcr-All Plans $14 103%
Buckeye Mcaid-All Other Plans $16 117%
Caresource Mcaid $16 117%
Molina Mcaid $16 117%
Aetna $17 - $54 125%
Amerihealth Mcaid-All Plans $17 125%
Magnipower-All Plans $18 132%
Caresource Exch - All Other Plans $19 139%
Molina Marketplace - All Other Plans $23 169%
Aultcare/Primecare Mcr Adv $26 191%
Clarity Health - All Plans $27 198%
Cerco-All Plans $38 279%
Aultcare Wayne County $40 293%
Aultcare/Primetime Exch $40 293%
Rayco-All Plans $40 293%
Christian Health Ministries-All Plans $43 315%
Cigna $43 315%
Health Ohio Network Employer $43 315%
Wayne County-All Plans $43 315%
Healthsmart Accel $45 330%
Summacare Preferred Choice $45 330%
Health Ohio Network Ppo-All Other Plans $46 337%
Healthsmart Complete Ppo-All Other Plans $46 337%
Med Mutual Of Oh Exchange $46 337%
Med Mutual Of Oh Supermed $46 337%
Med Mutual Of Oh Trad-All Other Plans $46 337%
Ohio Health Choice Supp $46 337%
Ohio Health Group Hlthy - All Other Plans $46 337%
Health Plan Of Upper Ohio-All Plans $47 345%
The Health Plan Comm - All Other Plans $47 345%
Aultcare/Primetime-All Other Plans $48 352%
Ohio Health Group Pref $48 352%
Healthsmart Ppo $49 360%
Ohio Health Choice-All Other Plans $50 367%
Summacare-All Other Plans $50 367%
Healthsmart Hpo $51 374%
Osu-All Plans $51 374%
Beech Street-All Plans $52 382%
Central Benefits-All Plans $52 382%
First Health-All Plans $52 382%
Flora-All Plans $52 382%
Phcs-All Plans $52 382%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals