CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Adena Pike Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $49
Cash Discount Price: $33
vs. Medicare Baseline: 3.60x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Adena Pike Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 3.60x the Medicare baseline. Located in 100 Dawn Lane, Waverly, OH.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $33 (242%)

Insurance Median: $49 (360%)

Cash: $33 (242% of Medicare)

Ins. Median: $49 (360% 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 360% of the Medicare baseline (a markup of 260%). 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
Aetna	$16 - $98	117%
Blue Cross Blue Shield	$16 - $56	117%
Buckeye Community Health Plan	$16	117%
Care Source	$16	117%
Humana	$16 - $62	117%
Medical Mutual Of Ohio	$16 - $41	117%
Medigold	$16	117%
Molina	$16	117%
Gateway Health	$21	154%
Molina Marketplace	$26	191%
Care Source Just4Me	$28	205%
Sidecar Health	$43	315%
Ohio Ppo Connect	$46	337%
The Health Plan	$46	337%
Cigna	$47	345%
Medical Mutual Of Ohio Supermed	$49	360%
First Health	$51 - $98	374%
Ohio Health Choice	$52	382%
Integrated Health Plan	$61	448%
Healthsmart	$62	455%
Multiplan/Private Healthcare Systems	$62	455%
Three Rivers Network	$62	455%
UnitedHealthcare	$80	587%

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 $33.
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 Adena Pike Medical 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.