CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Southwest General Health Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $63
Cash Discount Price: $89
vs. Medicare Baseline: 4.62x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Southwest General Health Center is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.62x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.

Cash / Self-Pay

$89

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: $89 (653%)

Insurance Median: $63 (462%)

Cash: $89 (653% 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
Medical Mutual	$6 - $7	44%
Medical Mutual-Ohio	$6	44%
Buckeye	$18 - $63	132%
Molina	$18 - $63	132%
Cigna	$31	227%
Healthsmart	$38	279%
Health Design Plus	$44	323%
Humana	$46 - $63	337%
Clarity Health	$47	345%
Healthspan	$47	345%
Healthsmart Preferred	$53	389%
Ohio Health Choice Plus	$57	418%
Amerihealth Caritas	$63	462%
Blue Cross Blue Shield	$63	462%
Caresource	$63	462%
UnitedHealthcare	$63 - $64	462%
Aetna	$64	470%
Summacare	$64	470%
Coventry	$81	594%
First Health	$81	594%
Ohio Health Choice	$91	668%
Private Healthare Systems	$94	690%

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 $89.
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 Southwest General Health Center 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.