CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Tristar Southern Hills Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $61
  • Cash Discount Price: $342
  • vs. Medicare Baseline: 4.48x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Tristar Southern Hills Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $342. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 4.48x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.
Cash / Self-Pay
$342

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $342 (2509%)
Insurance Median: $61 (448%)
Cash: $342 (2509% of Medicare)
Ins. Median: $61 (448% 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 448% of the Medicare baseline (a markup of 348%). 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
Wellpoint $6 44%
Aetna $11 - $182 81%
Ambetter / Centene $14 - $15 103%
American Health Advantage $14 103%
Amerigroup $14 103%
Blue Cross Blue Shield $14 - $77 103%
Bright Health $14 - $16 103%
Devoted Health Plan $14 103%
Evergreen Hmo $14 103%
Healthspring $14 103%
Humana $14 - $91 103%
Odyssey Healthcare $14 103%
Sarah Cannon Research $14 103%
Signature Advantage $14 103%
United $14 - $164 103%
Wellcare $14 103%
Zing $14 103%
Atrio Golden Times $15 110%
Corvel Corporation $20 147%
Novanet $20 147%
Prime Health $20 - $321 147%
Cigna $24 - $119 176%
Oscar $41 301%
Kentucky Labor Cabinet $59 - $67 433%
Apex Health $61 - $69 448%
Nhc Advantage, Inc. $61 - $69 448%
Pruitt Health (Allyalign) $61 - $69 448%
Centurion $132 - $150 968%
Bgfh Singlesource $160 - $310 1174%
Multiplan $185 - $212 1357%
Employers Health Network $223 - $256 1636%
Odom'S Tn Pride Sausage $239 - $274 1753%
Beech Street $281 - $321 2062%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals