CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Carilion Giles Community Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $113
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 8.29x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Carilion Giles Community Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 8.29x the Medicare baseline. Located in 159 Hartley Way, Pearisburg, VA.
Cash / Self-Pay
$64

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $64 (470%)
Insurance Median: $113 (829%)
Cash: $64 (470% of Medicare)
Ins. Median: $113 (829% 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 829% of the Medicare baseline (a markup of 729%). 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
Blue Cross Blue Shield $14 103%
Abh Of Va (Formerly Coventry) $15 110%
Abh Of Wva (Formerly Coventry) $15 110%
Humana $15 110%
Sentara Health Plan $15 - $113 110%
UnitedHealthcare $15 - $149 110%
Aetna $93 - $121 682%
Gateway - Tier 3 $100 734%
Vhn - Ultra $113 829%
Cigna $123 - $131 902%
Connecticare $127 932%
Vhn - Plus $140 1027%
Gateway - Tier 2 $146 1071%
Vhn $146 1071%
Vhn - Link $164 1203%
Gateway - Tier 1 $173 1269%
Vhn - Secondary Payors $173 1269%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 159 Hartley Way, Pearisburg, VA 24134
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals