CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Kossuth Regional Health Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $126
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 7.50x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Kossuth Regional Health Center is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 7.50x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $125 (744%)
Insurance Median: $126 (750%)
Cash: $125 (744% of Medicare)
Ins. Median: $126 (750% 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 750% of the Medicare baseline (a markup of 650%). 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 $15 - $16 89%
Humana $59 - $61 351%
Mercy One - All Plans $59 - $60 351%
Va Ccn - All Plans $59 - $60 351%
Amerigroup Mcr Adv - All Other Plans $60 - $61 357%
UnitedHealthcare $61 - $120 363%
Health Partners New Bus - All Other Plans $108 - $111 643%
Midlands Choice - All Plans $108 - $111 643%
Medical Associates - All Plans $132 - $134 786%
Preferred Health - All Plans $132 - $134 786%
Aetna $144 - $153 857%
Multiplan - All Plans $147 - $150 875%
Health Partners Exisiting Bus $150 - $153 893%
Molina Mcaid/Chip - All Plans $159 - $162 946%
Amerigroup Mcaid $161 - $164 958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals