CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Cass County Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $49
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 2.92x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Cass County Memorial Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.92x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $81 (482%)
Insurance Median: $49 (292%)
Cash: $81 (482% of Medicare)
Ins. Median: $49 (292% 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 292% of the Medicare baseline (a markup of 192%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $17 - $48 101%
Midlands Choice Medica Mcr $23 137%
Triwest - All Plans $47 280%
Aetna $48 - $109 286%
Amerigroup Mcr Adv - All Other Plans $48 286%
Medica Mcr Adv $48 286%
Tricare $48 286%
Va Ccn - All Plans $48 286%
Iowa Total Care Mcaid $49 292%
Iowa Total Care Mcr $49 292%
Molina Mcaid - All Plans $49 292%
Wellmark Mcr Adv $49 292%
American Hlth Mcr Adv - All Plans $50 298%
Medicaid / KanCare $50 298%
Wellmark Hmo $52 310%
Iowa Total Care Comm - All Other Plans $53 315%
Wellmark Ppo - All Other Plans $57 339%
Midlands Choice New Bus $75 446%
Medica Comm - All Other Plans $101 601%
Midlands Choice Pho (Ppo) - All Other Plans $104 619%
Multiplan - All Plans $109 649%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals