CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Stoughton Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $76
Cash Discount Price: $107
vs. Medicare Baseline: 5.58x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Stoughton Hospital is $76. 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 5.58x the Medicare baseline. Located in 900 Ridge St, Stoughton, WI.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $76 (558%)

Cash: $107 (785% of Medicare)

Ins. Median: $76 (558% 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 558% of the Medicare baseline (a markup of 458%). 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
Medicaid / KanCare	$12	88%
Alliance - All Plans	$26	191%
Tricare	$46	337%
Healthnet Mcr Adv - All Plans	$52	382%
Dean Health Insurance Med Adv	$54	396%
Humana	$54 - $174	396%
Quartz Mcr Adv	$54	396%
Security Health/First Health - All Plans	$54	396%
Aetna	$58 - $165	426%
Dean Health Insurance Comm - All Other Plans	$76	558%
Dean Health Insurance Epo	$76	558%
UnitedHealthcare	$85 - $155	624%
Geha - All Plans	$145	1064%
Cigna	$155	1137%
Wisconsin Ppo Ppa Direct - All Plans	$155	1137%
Blue Cross Blue Shield	$169	1240%
Wps - All Plans	$174	1277%
Quartz Health Solutions - All Other Lans	$178	1306%

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 $107.
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 Stoughton Hospital 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.