CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Tomah Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $37
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 2.71x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Tomah Memorial Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 2.71x the Medicare baseline. Located in 501 Gopher Dr, Tomah, WI.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $62 (455%)
Insurance Median: $37 (271%)
Cash: $62 (455% of Medicare)
Ins. Median: $37 (271% 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 271% of the Medicare baseline (a markup of 171%). 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 $15 - $99 110%
Independent Care Mcaid $15 110%
Managed Hlth Mcaid - All Plans $15 110%
Quartz Mcaid $15 110%
Security Hp Mcaid $15 110%
Va Ccn - All Plans $15 110%
Group Hlth Mcr Adv - All Plans $37 271%
Humana $37 - $99 271%
Independent Care Mcr - All Other Plans $37 271%
Quartz Mcr Adv $37 271%
Security Hp Mcr Adv $37 271%
UnitedHealthcare $37 - $101 271%
Aetna $70 - $91 514%
Cigna $82 - $104 602%
Security Hp Comm - All Other Plans $91 668%
Quartz Comm - All Other Plans $97 712%
The Alliance - All Plans $100 734%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Gopher Dr, Tomah, WI 54660
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals