CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $77
Cash Discount Price: $109
vs. Medicare Baseline: 5.65x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Baylor Scott & White Medical Center - Marble Falls is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 5.65x the Medicare baseline. Located in 810 W Highway 71, Marble Falls, TX.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $109 (800%)

Insurance Median: $77 (565%)

Cash: $109 (800% of Medicare)

Ins. Median: $77 (565% 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 565% of the Medicare baseline (a markup of 465%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$9 - $16	66%
Baylor Scott & White Health Plan	$13 - $77	95%
American Health Plan	$14	103%
Blue Cross Blue Shield	$14 - $81	103%
Corvel	$14	103%
Healthspring	$14	103%
Humana	$14 - $127	103%
Prime Health Services	$14	103%
Procare Advantage	$14	103%
Superior Health Plan	$14 - $33	103%
Triwest	$14	103%
Sedgwick	$20	147%
Cigna	$93 - $109	682%
Aetna	$100	734%
Midcoast	$100	734%
Quiktrip	$100	734%
University Of Mary Hardin-Baylor	$105	770%
Independent Medical System	$109	800%
Curative	$118	866%
First Health	$127	932%
Healthsmart	$127 - $136	932%
Bluebell Creameries	$136	998%
Private Health Care System	$136	998%
Three Rivers	$163	1196%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $109.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82728.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center - Marble Falls is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82728.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.