CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercyone North Iowa Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $100
  • Cash Discount Price: $504
  • vs. Medicare Baseline: 5.95x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercyone North Iowa Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $504. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.95x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$504

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$16.8

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $16.8 (100%)
Cash / Self-Pay: $504 (3000%)
Insurance Median: $100 (595%)
Cash: $504 (3000% of Medicare)
Ins. Median: $100 (595% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $16.8 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 595% of the Medicare baseline (a markup of 495%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Iowa Dept Of Public Health $9 - $190 54%
Blue Cross Blue Shield $15 - $136 89%
Aetna $16 - $131 95%
Iowa Total Care $16 - $129 95%
Medicaid / KanCare $16 - $131 95%
Medicare (plans) $16 - $141 95%
Geha $17 101%
UnitedHealthcare $17 - $190 101%
Centivo $21 125%
Amish Hospital Aid $22 131%
Oscar $22 131%
Ambetter / Centene $28 167%
Claimdoc $34 202%
Nova $34 202%
Health Choices $37 - $49 220%
Medical Associates $37 - $49 220%
1199 National Benefit Fund $75 - $100 446%
Allied Benefit Systems $75 - $100 446%
Asr Health Benefits $75 - $100 446%
Christian Brother Services $75 - $100 446%
Coventry $75 - $100 446%
First Health $75 - $100 446%
Lucent Health $75 - $100 446%
Luminare Health $75 - $100 446%
Medical Mutual $75 - $100 446%
Meritain $75 - $100 446%
Trustmark Small Business Benefits $75 - $100 446%
Webtpa $75 - $100 446%
Preferred One $93 - $124 554%
Health Partners $96 - $127 571%
Auxiant $100 - $133 595%
Cigna $100 - $133 595%
Medica $100 - $133 595%
Midlands $100 - $133 595%
Midlands Choice $100 - $133 595%
Mhnet $114 - $152 679%
Multiplan $129 - $171 768%
Bcn Domestic $136 810%
Blue Benefit Administrators Of Massachusetts $136 810%
Blue Care Network $136 810%
Blue Distinction Transplant $136 810%
Blue Shield - Ca $136 810%
Blue Shield - Id (Regence) $136 810%
Blue Shield - Ny Highmark Northeastern $136 810%
Blue Shield - Ny Highmark Western $136 810%
Blue Shield - Pa (Highmark) $136 810%
Blue Shield - Wa (Regence) $136 810%
Kaiser Domestic $136 810%
Pre-Employment $136 810%
Wc Domestic $136 810%
Crime Victim Assistance $143 - $190 851%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Fourth Street Sw, Mason City, IA 50401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals