CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercyone Centerville Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $147
  • Cash Discount Price: $545
  • vs. Medicare Baseline: 8.75x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercyone Centerville Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $545. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.75x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$545

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $545 (3244%)
Insurance Median: $147 (875%)
Cash: $545 (3244% of Medicare)
Ins. Median: $147 (875% 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 875% of the Medicare baseline (a markup of 775%). 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
Medicare (plans) $16 - $58 95%
Aetna $17 - $180 101%
Blue Cross Blue Shield $17 - $55 101%
UnitedHealthcare $18 - $192 107%
Iowa Total Care $53 315%
Medicaid / KanCare $54 321%
Amish Hospital Aid $74 440%
Ambetter / Centene $94 560%
Claimdoc $112 667%
Nova $112 667%
Geha $138 821%
Health Choices $147 875%
Medical Associates $147 875%
1199 National Benefit Fund $180 1071%
Allied Benefit Systems $180 1071%
Asr Health Benefits $180 1071%
Christian Brother Services $180 1071%
Coventry $180 1071%
First Health $180 1071%
Lucent Health $180 1071%
Luminare Health $180 1071%
Medical Mutual $180 1071%
Meritain $180 1071%
Trustmark Small Business Benefits $180 1071%
Webtpa $180 1071%
Health Partners $185 1101%
Auxiant $188 1119%
Cigna $188 1119%
Medica $188 1119%
Midlands $188 1119%
Midlands Choice $188 1119%
Crime Victim Assistance $192 1143%
Iowa Dept Of Public Health $192 1143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals