Ferritin (CPT 82728)
Medicare Rate vs. Lab Charges
Medicare pays $16.39 for this test. Labs commonly charge $55.00–$210.00. That's a 236%–1181% markup above what Medicare pays.
What This Test Is
Ferritin measures iron storage in your body. High ferritin can indicate iron overload (hemochromatosis) or inflammation; low ferritin suggests iron deficiency anemia. It's ordered when investigating anemia, fatigue, or suspected iron disorders.
Medicare Rate vs. Lab Charges
| Medicare Allowable Rate | $16.39 |
| Typical Lab Charge Range | $55.00–$210.00 |
| Average Markup Above Medicare | 236%–1181% |
Does Medicare Cover This Test?
Yes, Medicare Part B covers ferritin testing when ordered to evaluate anemia, iron overload, or symptoms of iron deficiency.
Common Reasons for Denial
- Screening in asymptomatic patient without anemia symptoms
- Tested too frequently without clinical indication
- No diagnosis code documenting reason (anemia, fatigue, iron overload)
- Duplicate test within short timeframe
- Routine supplementation monitoring without medical necessity
What To Do If You're Overcharged
If you received a lab bill that seems unusually high compared to Medicare rates:
- Check your Explanation of Benefits (EOB) from Medicare or your insurance to see what should have been paid.
- Request an itemized bill from the lab showing all charges.
- Compare to GougeStop rates for your area to see if the charge is reasonable.
- Contact the lab's billing department to dispute erroneous charges or negotiate a lower rate.
- File an appeal with Medicare if a claim was incorrectly denied.
Frequently Asked Questions
A: If you have symptoms of anemia (fatigue, weakness), are diagnosed with anemia, or have a family history of hemochromatosis.
A: Yes—ferritin is an inflammatory marker. Infections, liver disease, cancer, and autoimmune conditions can raise ferritin independent of iron status.
A: Only if iron deficiency anemia is confirmed. Taking iron supplements without anemia can cause problems. Your doctor will advise.