CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Baylor Scott & White Texas Spine & Joint Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $86
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 6.31x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Baylor Scott & White Texas Spine & Joint Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.31x the Medicare baseline. Located in 1814 Roseland Boulevard, Tyler, TX.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $227 (1665%)
Insurance Median: $86 (631%)
Cash: $227 (1665% of Medicare)
Ins. Median: $86 (631% 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 631% of the Medicare baseline (a markup of 531%). 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
UnitedHealthcare $14 103%
Blue Cross Blue Shield $61 - $129 448%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1814 Roseland Boulevard, Tyler, TX 75701
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals