CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Boone County Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $40
Cash Discount Price: $67
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Boone County Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.38x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $67 (399%)

Insurance Median: $40 (238%)

Cash: $67 (399% of Medicare)

Ins. Median: $40 (238% 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 238% of the Medicare baseline (a markup of 138%). 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	$7 - $24	42%
Aetna	$11 - $110	65%
Amerigroup Mcr Adv - All Other Plans	$11 - $58	65%
Choice Care Mcr Adv - All Plans	$11 - $58	65%
Humana	$11 - $127	65%
Iowa Hlth Adv - All Plans	$11 - $58	65%
Mt Carmel Hp - All Plans	$11 - $58	65%
UnitedHealthcare	$11 - $83	65%
Medicaid / KanCare	$12 - $65	71%
Tricare	$17	101%
Healthsmart Accell Network	$18 - $99	107%
Iowa Total Care Mcaid - All Plans	$20 - $65	119%
Medical Associates Hp-All Plans	$20 - $106	119%
Meridian Mcaid - All Plans	$20 - $63	119%
Healthsmart Ppo - All Other Plans	$21 - $113	125%
Health Alliance-All Plans	$23 - $127	137%
Mutually Preferred-All Plans	$25 - $134	149%
Midlands Choice-All Plans	$40 - $130	238%
Wellmark Hmo	$48	286%
Wellmark Ppo - All Other Plans	$52	310%

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 $67.
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 Boone 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.