CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Monroe County Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $89
Cash Discount Price: $116
vs. Medicare Baseline: 5.30x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Monroe County Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.30x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $116 (690%)

Insurance Median: $89 (530%)

Cash: $116 (690% of Medicare)

Ins. Median: $89 (530% 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 530% of the Medicare baseline (a markup of 430%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Va Ccn - All Plans	$9 - $56	54%
Wellmark Hmo	$16	95%
Wellmark Ppo - All Other Plans	$17	101%
Aetna	$22 - $315	131%
Amerigroup Mcare	$22 - $142	131%
Humana	$22 - $142	131%
Mahp Mcare - All Plans	$22 - $141	131%
Tricare	$22 - $141	131%
UnitedHealthcare	$22 - $318	131%
Wellmark Mcare	$22 - $142	131%
Iowa Total Care Mcaid - All Plans	$26 - $167	155%
Molina Mcaid - All Plans	$26 - $170	155%
Amerigroup Mcaid - All Other Plans	$27 - $172	161%
Centivo - All Plans	$33 - $211	196%
Midlands Choice - All Plans	$36 - $234	214%
Preferred Hlth - All Plans	$39 - $251	232%
Geha - All Plans	$42 - $268	250%
Multiplan - All Plans	$47 - $302	280%
Integrated Hp - All Plans	$50 - $325	298%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $116.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Monroe County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.