CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Madison County Health Care System

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $92
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 5.48x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Madison County Health Care System is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.48x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $113 (673%)
Insurance Median: $92 (548%)
Cash: $113 (673% of Medicare)
Ins. Median: $92 (548% 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 548% of the Medicare baseline (a markup of 448%). 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
Blue Cross Blue Shield $47 - $52 280%
Aetna $61 - $92 363%
Medical Associates Hp - All Plans $61 363%
Medigold-All Plans $61 363%
Tricare $61 363%
UnitedHealthcare $61 - $127 363%
American Hp Mcr Adv-All Plans $64 381%
Iowa Total Care Mcaid-All Plans $66 393%
Molina Mcaid/Chip -All Plans $69 411%
Amerigroup Mcaid-All Plans $70 417%
Madison County Sheriff-All Plans $70 417%
Oscar - All Plans $91 542%
Corvel Wc-All Plans $127 756%
Choicecare-All Plans $134 798%
First Choice-All Plans $134 798%
First Health-All Plans $134 798%
Integrated Hp-All Plans $134 798%
Mutual Of Omaha-All Plans $134 798%
Plaines Health-All Plans $134 798%
Preferred Hlth Ntwork-All Plans $134 798%
Principal Healthcare-All Plans $134 798%
Usa Managed Care-All Plans $134 798%
Medimore Employee Hp - All Plans $138 821%
Midlands Choice - All Plans $138 821%
Benefit Admin Of America-All Plans $141 839%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals