CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercyone Oelwein Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $176
  • Cash Discount Price: $467
  • vs. Medicare Baseline: 10.48x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercyone Oelwein Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $467. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 10.48x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$467

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $467 (2780%)
Insurance Median: $176 (1048%)
Cash: $467 (2780% of Medicare)
Ins. Median: $176 (1048% 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 1048% of the Medicare baseline (a markup of 948%). 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 $17 101%
Medicare (plans) $17 - $82 101%
Iowa Total Care $74 440%
Medicaid / KanCare $76 452%
UnitedHealthcare $83 - $136 494%
Aetna $91 - $176 542%
Amish Hospital Aid $105 625%
Centivo $118 702%
Ambetter / Centene $132 786%
Geha $136 810%
Health Choices $141 839%
Medical Associates $141 839%
Claimdoc $158 940%
Nova $158 940%
1199 National Benefit Fund $176 1048%
Allied Benefit Systems $176 1048%
Asr Health Benefits $176 1048%
Christian Brother Services $176 1048%
Coventry $176 1048%
First Health $176 1048%
Lucent Health $176 1048%
Luminare Health $176 1048%
Medical Mutual $176 1048%
Meritain $176 1048%
Trustmark Small Business Benefits $176 1048%
Webtpa $176 1048%
Health Partners $185 1101%
Multiplan $186 1107%
Auxiant $188 1119%
Cigna $188 1119%
Medica $188 1119%
Midlands $188 1119%
Midlands Choice $188 1119%
Crime Victim Assistance $192 1143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals