CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercyone Clinton Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $34
  • Cash Discount Price: $309
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercyone Clinton Medical Center is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $309. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.02x the Medicare baseline. Located in 1410 North 4Th Street, Clinton, IA.
Cash / Self-Pay
$309

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $309 (1839%)
Insurance Median: $34 (202%)
Cash: $309 (1839% of Medicare)
Ins. Median: $34 (202% 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 202% of the Medicare baseline (a markup of 102%). 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
Iowa Dept Of Public Health $9 - $143 54%
Aetna $16 - $125 95%
Iowa Total Care $16 95%
Medicaid / KanCare $16 95%
Medicare (plans) $16 - $17 95%
Blue Cross Blue Shield $17 101%
Geha $17 101%
UnitedHealthcare $17 - $143 101%
Amish Hospital Aid $22 131%
Oscar $23 137%
Ambetter / Centene $28 167%
Claimdoc $34 202%
Nova $34 202%
Health Choices $40 238%
Medical Associates $40 238%
Preferred Health Choice $41 244%
The Alliance $87 518%
1199 National Benefit Fund $125 744%
Allied Benefit Systems $125 744%
Asr Health Benefits $125 744%
Christian Brother Services $125 744%
Coventry $125 744%
First Health $125 744%
Health Partners $125 744%
Lucent Health $125 744%
Luminare Health $125 744%
Medical Mutual $125 744%
Meritain $125 744%
Trustmark Small Business Benefits $125 744%
Webtpa $125 744%
Auxiant $129 768%
Cigna $129 768%
Medica $129 768%
Midlands $129 768%
Midlands Choice $129 768%
Multiplan $129 768%
Qualcare $129 768%
Usa Managed Care $136 810%
Crime Victim Assistance $143 851%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals