CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Regional Medical Center

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $870
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 63.83x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Regional Medical Center is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 63.83x the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

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: $94 (690%)
Insurance Median: $870 (6383%)
Cash: $94 (690% of Medicare)
Ins. Median: $870 (6383% 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 6383% of the Medicare baseline (a markup of 6283%). 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
Medical Associates Health Plan - Tri $870 6383%

Consumer Guidance & Cost Commentary

The cash price for this blood test, ferritin (iron stores) procedure at Regional Medical Center in Manchester, IA is $94. This facility, a government-owned Critical Access Hospital, lists a negotiated rate of $870 with Medical Associates Health Plan - Tri, while the Medicare benchmark for this service is $13.63. Although the cash rate of $94 is higher than the Medicare amount of $13.63, it is significantly lower than the negotiated rate of $870, which may be preferable for patients with high-deductible plans who have not yet met their out-of-pocket maximum.

Patients should be aware that the facility's cash rate of $94 is substantially lower than the state average and county average for this procedure, making it a cost-effective option for self-pay. However, because the negotiated rate of $870 exceeds the cash price, paying out-of-pocket could result in lower total costs if your insurance deductible has not been satisfied. To ensure you receive the lowest possible price, you should ask the hospital directly about "self-pay" or "prompt-pay" discounts, which could further reduce the $94 cash rate, and request a full itemized bill to verify there are no unbundled charges or services not rendered.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 709 W Main Street, Manchester, IA 52057
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals