CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: St Joseph's Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82728
  • Insurance Median: $184
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 13.50x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at St Joseph's Hospital is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 13.50x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$156

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $156 (1145%)
Insurance Median: $184 (1350%)
Cash: $156 (1145% of Medicare)
Ins. Median: $184 (1350% 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 1350% of the Medicare baseline (a markup of 1250%). 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
Meridian Health Plan $20 147%
Molina Healthcare $20 - $217 147%
UnitedHealthcare $27 - $217 198%
Caterpillar, Inc. $27 198%
Cigna $33 242%
Clear Spring Health of Illinois $43 - $217 315%
Sae Hospice $43 - $217 315%
Aetna $43 - $217 315%
Blue Cross Blue Shield $43 - $217 315%
Humana $43 - $217 315%
Amish Community $61 448%
Naphcare $91 - $456 668%
Celtic Insurance Company $95 - $217 697%
Hopetrust $108 - $217 792%
Claim Doc $108 - $542 792%
Wellfirst $139 1020%
First Health $160 1174%
Multiplan/Phcs $184 1350%
Healthlink $184 1350%
Provider Network of America $195 1431%
Healthcare Finest Network (Hfn) $195 1431%
Health Alliance Medical Plans $217 1592%
Interplan $217 1592%
Mental Health Network $217 1592%
Illinois Breast and Cervical Cancer Program $217 1592%
Healthscope $217 1592%
Consociate Group $217 1592%
Current Health Solutions $217 1592%
Qtc Medical Group of Illinois $217 1592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals