CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Prisma Health Oconee Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $16
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Prisma Health Oconee Memorial Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 1.17x the Medicare baseline. Located in 298 Memorial Dr, Seneca, SC.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $114 (836%)
Insurance Median: $16 (117%)
Cash: $114 (836% of Medicare)
Ins. Median: $16 (117% 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.

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
Blue Cross Blue Shield $11 - $72 81%
Tricare $11 81%
Golden Rule Insurance Company [2991] $12 88%
Oxford Health Plans [2992] $12 88%
UnitedHealthcare $12 - $17 88%
Zzumr-Salt Lake City Ut [3169] $12 88%
Bluechoice [810] $13 - $97 95%
Aetna $14 - $138 103%
Champva [3049] $14 103%
Cigna $14 - $78 103%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $14 103%
Deseret Mutual Ins Co [3066] $14 103%
Generic Skilled Nursing [3196] $14 103%
Healthy Conn Prime-First Choice Vip Care [5300] $14 103%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $14 103%
Hospice Contracted [1500] $14 103%
Hospice Non Contracted [3190] $14 103%
Humana $14 - $19 103%
Medicare (plans) $14 - $18 103%
Triwest Healthcare Alliance Vcp [902] $14 103%
Va Community Care Network-Vaccn [903] $14 103%
Veterans Administration [3194] $14 103%
Healthy Conn Prime-Molina Healthcare [5330] $15 110%
Medicaid / KanCare $17 - $18 125%
First Choice Benefits Mgmt [3074] $18 132%
Workers Comp [600] $19 139%
Ambetter / Centene $25 183%
Prisma Health Seniorcare Pace - Midlands [5400] $41 301%
Prisma Health Seniorcare Pace-Upstate [5200] $41 301%
Sc Dept Of Corrections [2998] $54 396%
Scdc-Sc Dept Of Corrections [7232] $54 396%
Promise Health Plan Contracted [2401] $61 - $105 448%
Orangeburg Senior Helping Center Pace [5401] $70 514%
Planned Administrators [820] $72 528%
Evernorth Behavioral Contracted [2982] $78 572%
Mvp Health Care [3037] $78 572%
Bob Jones Univ-Pai [821] $105 770%
Meritain Health Contracted [2200] $112 - $138 822%
Preferred Administrators Contracted [2839] $122 895%
Medcost [2940] $130 - $145 954%
Atlantic Packaging Contracted [4833] $131 961%
Aps Healthcare System [2981] $140 1027%
Multiplan/Phcs Contracted [2950] $156 1145%
Vsp Vision Care [2986] $158 1159%
First Health Contracted [2952] $163 1196%
Furman Int/Allen University Student [2951] $163 1196%
Quiktrip-First Health [3067] $163 1196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 298 Memorial Dr, Seneca, SC 29672
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals