CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Mercy Hospital Ada

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $34
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 2.49x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Mercy Hospital Ada is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 2.49x the Medicare baseline. Located in 430 North Monte Vista, Ada, OK.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $49 (360%)
Insurance Median: $34 (249%)
Cash: $49 (360% of Medicare)
Ins. Median: $34 (249% 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 249% of the Medicare baseline (a markup of 149%). 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
Aetna $12 - $56 88%
Humana $12 - $13 88%
Medicaid / KanCare $12 - $18 88%
Blue Cross Blue Shield $13 95%
Cherokee Nation Health Serv Contracted [320066] $13 95%
Cross Timbers Hospice [20098] $13 95%
Dept Of Veteran Affairs Contracted [320106] $13 95%
Elara Caring Aspire Hospice Contracted [320433] $13 95%
Elara Caring Aspire Hospice [20433] $13 95%
Halo Hcr Inc Hospice Contracted [320432] $13 95%
Halo Hcr Inc Hospice [20432] $13 95%
Independent Health [20197] $13 95%
Indian Health Service Contracted [320198] $13 95%
Kindful Hospice Contracted [320434] $13 95%
Kindful Hospice [20434] $13 95%
Medical Associates Health [20444] $13 95%
Medicare (plans) $13 - $75 95%
Mercy Hospice Okc [20252] $13 95%
Provider Partners Health Plans Contracted [320450] $13 95%
Qual Choice Contracted [320325] $13 95%
Tricare $13 95%
UnitedHealthcare $13 - $17 95%
Cigna $14 103%
Globalhealth Contracted [320145] $14 103%
United Medical Resources Contracted [320454] $17 - $45 125%
Ambetter / Centene $18 132%
Health Choice Contracted [320166] $18 132%
Home State Health Plan Contracted [320187] $18 132%
Medica Contracted [320239] $18 - $75 132%
Novasys Contracted [320285] $18 132%
Workers Comp [20426] $23 169%
Healthcare Highways Plus Contracted [320175] $29 - $56 213%
Healthsmart Preferred Care Contracted [320184] $30 220%
Kempton Contracted [320214] $30 220%
Webtpa Contracted [320417] $32 235%
Osma Health Contracted [320292] $34 249%
Benefit Management Contracted [320052] $38 - $49 279%
Aither Health Contracted [320449] $45 330%
Auxiant Contracted [320462] $45 330%
Ebms Contracted [320493] $45 330%
Federal Medical Center Contracted [320127] $45 330%
Healthlink Contracted [320179] $45 330%
Healthscope Contracted [320182] $45 330%
Imagine 360 Contracted [320494] $45 330%
Mercy Benefit Admin Contracted [320251] $45 - $49 330%
Point C Contracted [320238] $45 330%
Preferred Health Plan Contracted [320522] $45 330%
Quik Trip Contracted [320447] $45 330%
Reflect Health Contracted [320492] $45 330%
Show-Me Health Administrators Contracted [320483] $45 330%
Yuzu Health Contracted [320521] $45 330%
Globalhealth Contracted [320144] $47 345%
First Health Contracted [320128] $62 455%
Multiplan Contracted [320270] $64 470%
Private Health Care Systems Contracted [320320] $64 470%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 430 North Monte Vista, Ada, OK 74820
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals