CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Licking Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $106
  • Cash Discount Price: $147
  • vs. Medicare Baseline: 7.78x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Licking Memorial Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 7.78x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$147

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $147 (1079%)
Insurance Median: $106 (778%)
Cash: $147 (1079% of Medicare)
Ins. Median: $106 (778% 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 778% of the Medicare baseline (a markup of 678%). 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
Tricare $13 95%
Aetna $14 - $107 103%
Blue Cross Blue Shield $14 - $126 103%
Champva [500001] $14 103%
Cigna $14 - $133 103%
Humana $14 - $143 103%
Medicare (plans) $14 103%
UnitedHealthcare $14 - $125 103%
Veterans Administration [100068] $14 103%
Wellcare By Allwell [450104] $14 103%
Molina Marketplace [100106] $22 161%
Medical Mutual [100114] $81 - $122 594%
Medben [700068] $103 - $144 756%
Allied Benefit Systems [100015] $106 778%
Geha [100039] $106 778%
Gravie Administrative Services [100165] $106 778%
Meritain [100063] $106 778%
Optima [700069] $106 778%
Trustmark Small Business Benefits [100263] $106 778%
Webtpa [100127] $106 778%
Benicomp [70090] $110 807%
Consociate Health 6 Degrees [100059] $118 866%
Consociate Health [100029] $118 866%
Healthscope [100157] $125 917%
Surest [100016] $125 917%
United Medical Resources [700071] $125 917%
American Postal Workers [100089] $133 976%
Antidote Health Plan Of Ohio [70006803] $133 976%
Coresource [100002] $133 - $147 976%
Great West Life [700064] $133 976%
National Association Of Letter Carriers [100067] $133 976%
Ohio Healthy Luminare Health [100264] $133 976%
Ohio Healthy [100255] $133 976%
Ohio Ppo Connect [70006801] $133 976%
Osu Prime Care [100254] $133 976%
Quality Care Partners [70006802] $133 976%
The Health Plan [100261] $133 976%
Wellfleet Group, Llc [100164] $133 976%
Coventry [100010] $136 998%
Pan American Life [700070] $136 998%
Ohio Health Choice [100109] $141 1034%
Administrative Concepts [100006] $143 1049%
Carefactor [100087] $143 1049%
Philadelphia American Life [100260] $143 - $147 1049%
Reliance Standard-Asrm [100258] $143 1049%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals