CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Veterans Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $83
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 4.94x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Veterans Memorial Hospital is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.94x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $109 (649%)
Insurance Median: $83 (494%)
Cash: $109 (649% of Medicare)
Ins. Median: $83 (494% 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 494% of the Medicare baseline (a markup of 394%). 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
Wellmark Hmo - All Other Plans $13 77%
Wellmark Ppo $14 83%
Amerigroup Mcaid - All Other Plans $17 101%
Amerigroup Mcr Adv $83 494%
Humana $83 - $144 494%
Iowa Total Care Exchange $83 494%
Iowa Total Care Mcr Adv $83 494%
Medica Mcr Adv $83 494%
Molina Mcr Adv $83 494%
Quartz Mcr Adv $83 494%
UnitedHealthcare $83 - $163 494%
Welmark Mcr Adv $83 494%
Iowa Total Care Mcaid - All Other Plans $98 583%
Molina Mcaid - All Other Plans $98 583%
Quartz Comm - All Other Plans $144 857%
Medica Comm - All Other Plans $153 911%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals