CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $70
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 5.14x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Mercy Hospital Tishomingo Inc is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 5.14x the Medicare baseline. Located in 1000 South Byrd St, Tishomingo, OK.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $92 (675%)
Insurance Median: $70 (514%)
Cash: $92 (675% of Medicare)
Ins. Median: $70 (514% 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 514% of the Medicare baseline (a markup of 414%). 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 - $94 88%
Humana $12 - $114 88%
Medicaid / KanCare $12 - $43 88%
Health Choice Contracted [320166] $18 132%
Blue Cross Blue Shield $38 - $68 279%
Ambetter / Centene $43 315%
Home State Health Plan Contracted [320187] $43 315%
Novasys Contracted [320285] $43 315%
Webtpa Contracted [320417] $60 440%
Medicare (plans) $65 - $91 477%
Cherokee Nation Health Serv Contracted [320066] $68 499%
Cross Timbers Hospice [20098] $68 499%
Dept Of Veteran Affairs Contracted [320106] $68 499%
Elara Caring Aspire Hospice Contracted [320433] $68 499%
Elara Caring Aspire Hospice [20433] $68 499%
Halo Hcr Inc Hospice Contracted [320432] $68 499%
Halo Hcr Inc Hospice [20432] $68 499%
Independent Health [20197] $68 499%
Indian Health Service Contracted [320198] $68 499%
Kindful Hospice Contracted [320434] $68 499%
Kindful Hospice [20434] $68 499%
Medical Associates Health [20444] $68 499%
Mercy Hospice Okc [20252] $68 499%
Provider Partners Health Plans Contracted [320450] $68 499%
Qual Choice Contracted [320325] $68 499%
Tribute Health Plan Mcr Contracted [320338] $68 499%
Tricare $68 499%
UnitedHealthcare $68 - $112 499%
Cigna $70 - $106 514%
Globalhealth Contracted [320145] $70 514%
Aither Health Contracted [320449] $85 - $121 624%
Mercy Benefit Admin Contracted [320251] $85 - $121 624%
Quik Trip Contracted [320447] $85 624%
Show-Me Health Administrators Contracted [320483] $85 624%
Medica Contracted [320239] $91 668%
First Health Contracted [320128] $94 690%
Osma Health Contracted [320292] $99 726%
Benefit Management Contracted [320052] $106 - $128 778%
Healthcare Highways Plus Contracted [320175] $106 778%
Private Health Care Systems Contracted [320320] $106 - $114 778%
United Medical Resources Contracted [320454] $112 822%
Multiplan Contracted [320270] $114 - $128 836%
Auxiant Contracted [320462] $121 888%
Ebms Contracted [320493] $121 888%
Healthlink Contracted [320179] $121 888%
Imagine 360 Contracted [320494] $121 888%
Preferred Community Choice Contracted [320311] $121 888%
Reflect Health Contracted [320492] $121 888%
Yuzu Health Contracted [320521] $121 888%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 South Byrd St, Tishomingo, OK 73460
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals