CMS Price Transparency Data

Blood test, ferritin (iron stores)

Facility: Margaretville Memorial Hospital

Billing Code: 82728 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82728
Insurance Median: $92
Cash Discount Price: $208
vs. Medicare Baseline: 6.75x Medicare

The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Margaretville Memorial Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 6.75x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $208 (1526%)

Insurance Median: $92 (675%)

Cash: $208 (1526% of Medicare)

Ins. Median: $92 (675% 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 675% of the Medicare baseline (a markup of 575%). 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
UnitedHealthcare	$20 - $92	147%
Oxford	$20	147%
Aetna	$37 - $208	271%
Mvp	$58	426%
Mvp Hmo/Ppo	$68	499%
Blue Cross Blue Shield	$80 - $107	587%
Mvp Gold (McR)	$92	675%
Hamaspik (McR)	$92	675%
Medicare (plans)	$92 - $137	675%
Affinity By Molina McR	$96	704%
Cdphp	$101	741%
Self-Pay	$115	844%
Emblem Ghi/Hip Ppo/Cbp	$129	946%
Mvp Exchange	$135	990%
Emblem Select Care (Exchange)	$141	1034%
Oxford Exchange	$146	1071%
Magnacare Standard	$146	1071%
Todays Options	$151	1108%
Emblem Ghi/Hip Hmo/Epo/Pos	$166	1218%
Multiplan	$171	1255%
First Health	$187	1372%
Magnacare Preferred	$822	6031%

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 $208.
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 Margaretville Memorial 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.