CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Sanford Clear Lake Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $124
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 9.10x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Sanford Clear Lake Medical Center is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 9.10x the Medicare baseline. Located in 701 Third Avenue South, Clear Lake, SD.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $120 (880%)
Insurance Median: $124 (910%)
Cash: $120 (880% of Medicare)
Ins. Median: $124 (910% 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 910% of the Medicare baseline (a markup of 810%). 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
Sanford Health Plan Align $77 565%
Security Health Plan $82 602%
Aetna $83 - $130 609%
Health Partners $83 - $112 609%
Medicare (plans) $83 609%
Ucare $83 - $132 609%
UnitedHealthcare $83 - $125 609%
Wellmark Sd $83 609%
Primewest $85 624%
Sanford Health Plan $104 - $139 763%
Blue Cross Blue Shield $123 - $139 902%
Medica $124 - $132 910%
Wellmark $129 - $130 946%
Cigna $135 990%
First Choice Health Network $135 990%
Healthez $135 990%
Multiplan $135 990%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Third Avenue South, Clear Lake, SD 57226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals