CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercyone Elkader Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $141
  • Cash Discount Price: $480
  • vs. Medicare Baseline: 8.39x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercyone Elkader Medical Center is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $480. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.39x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.
Cash / Self-Pay
$480

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $480 (2857%)
Insurance Median: $141 (839%)
Cash: $480 (2857% of Medicare)
Ins. Median: $141 (839% 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 839% of the Medicare baseline (a markup of 739%). 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 - $192 54%
Blue Cross Blue Shield $99 589%
Aetna $100 - $141 595%
Medicare (plans) $101 - $104 601%
UnitedHealthcare $106 - $144 631%
Iowa Total Care $119 708%
Medicaid / KanCare $121 - $122 720%
Amish Hospital Aid $133 792%
1199 National Benefit Fund $141 839%
Allied Benefit Systems $141 839%
Asr Health Benefits $141 839%
Christian Brother Services $141 839%
Coventry $141 839%
First Health $141 839%
Lucent Health $141 839%
Luminare Health $141 839%
Medical Mutual $141 839%
Meritain $141 839%
Trustmark Small Business Benefits $141 839%
Webtpa $141 839%
Geha $144 857%
Centivo $150 893%
Health Choices $154 917%
Medical Associates $154 917%
Ambetter / Centene $168 1000%
Health Partners $185 1101%
Auxiant $188 1119%
Cigna $188 1119%
Medica $188 1119%
Midlands $188 1119%
Midlands Choice $188 1119%
Crime Victim Assistance $192 1143%
Claimdoc $201 1196%
Nova $201 1196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals