CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: North Austin Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $53
  • Cash Discount Price: $553
  • vs. Medicare Baseline: 3.89x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at North Austin Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 3.89x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$553

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $553 (4057%)
Insurance Median: $53 (389%)
Cash: $553 (4057% of Medicare)
Ins. Median: $53 (389% 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 389% of the Medicare baseline (a markup of 289%). 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
Superior Health Plan $10 - $154 73%
St David’S Hospice $11 - $14 81%
Blue Cross Blue Shield $12 - $266 88%
United $12 - $406 88%
Molina Healthcare $13 - $15 95%
Wellmed $13 95%
Aetna $14 103%
American Health Plan Of Texas $14 103%
Cigna $14 - $38 103%
Devoted Health $14 103%
Humana $14 103%
Odyssey Hospice $14 103%
Provider Partners Health Plan $14 103%
Sendero $14 - $23 103%
Shared Health $14 103%
Texas Independent Health Plan $14 103%
Triwest Healthcare Alliance $14 103%
UnitedHealthcare $14 - $406 103%
Wellcare $14 103%
Imperial Insurance $15 110%
Pyramid Life $15 110%
Triwest Health Alliance $15 110%
Universal Health $16 117%
Austin Fc $17 125%
Amerigroup $19 139%
Naphcare $21 154%
Seven Corners $21 154%
Corvel Corporation $27 198%
Oscar $37 - $42 271%
Moda $47 - $212 345%
Covenant Management Systems $58 - $260 426%
Healthcare Highways $59 - $271 433%
Imo Med - Select Network $61 - $271 448%
Nomi Health $65 - $334 477%
Moda Health $73 - $334 536%
Evry Health $74 - $332 543%
Texas Healthcare Foundation Heb $75 - $334 550%
Texas Workforce Commission $79 - $352 580%
Harbor Health Team $81 - $361 594%
Averde Health $91 - $406 668%
Comanche County $101 - $452 741%
National Choicecare $101 - $452 741%
Healthsmart Preferred Care $111 - $722 814%
Independent Medical Systems $111 - $497 814%
Physicians Cooperative Of Texas $111 - $497 814%
Prime Health $121 - $542 888%
First Health $126 - $641 924%
Coastal Comp Health Networks $131 - $587 961%
National Health Care $131 - $587 961%
Texas Municipal League $141 - $632 1034%
Medcorp Southwest $152 - $677 1115%
Rockport Healthcare Group $162 - $813 1189%
Bce Emergis Corporation $182 - $813 1335%
Beech Street $182 - $813 1335%
Medical Control Network Solutions $182 - $813 1335%
Multiplan $182 - $813 1335%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals