CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Porter Hospital Inc

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $95
Cash Discount Price: $172
vs. Medicare Baseline: 6.97x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Porter Hospital Inc is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.97x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $172 (1262%)

Insurance Median: $95 (697%)

Cash: $172 (1262% of Medicare)

Ins. Median: $95 (697% 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 697% of the Medicare baseline (a markup of 597%). 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
Humana	$13	95%
Fidelis Care	$73	536%
Aetna	$81	594%
Capital District Physicians' Health Plan	$81 - $143	594%
Martins Point	$81	594%
Mvp	$81 - $160	594%
UnitedHealthcare	$81 - $170	594%
Veterans Affairs Community Care Network	$81	594%
Veterans Choice	$81	594%
Blue Cross Blue Shield	$83 - $168	609%
Wellpath	$95	697%
Harvard Pilgrim	$138	1012%
Coventry	$151	1108%
Cigna	$156	1145%
Medical Corporation	$163	1196%
Multiplan	$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 $172.
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 Porter Hospital Inc 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.