CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Astria Toppenish Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $19
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Astria Toppenish Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 1.39x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $107 (785%)
Insurance Median: $19 (139%)
Cash: $107 (785% of Medicare)
Ins. Median: $19 (139% 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.

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
Medicaid / KanCare $4 - $47 29%
Regence $8 - $104 59%
Premera $9 - $115 66%
Premera_Affordable_Care $9 - $115 66%
Ambetter / Centene $11 81%
Medicare (plans) $11 - $253 81%
Molina $11 81%
UnitedHealthcare $11 - $253 81%
Va $11 81%
Aetna $14 - $269 103%
Chpw_Cascade_Care $14 - $193 103%
Cigna $14 103%
Humana $14 - $306 103%
Li $14 103%
Molina_Exchange $14 103%
Tricare $14 103%
Zenith $14 103%
First_Choice $16 - $211 117%
Tpsc $18 - $239 132%
Bcchp $23 - $306 169%
Great_Rivers $23 - $306 169%
Healthcomp $23 - $306 169%
Washington_State_Hca $23 - $306 169%
Kaiser $52 382%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals