CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercyone Dyersville Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $159
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 9.46x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercyone Dyersville Medical Center is $159. 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 9.46x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $159 (946%)
Cash: $125 (744% of Medicare)
Ins. Median: $159 (946% 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 946% of the Medicare baseline (a markup of 846%). 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
Health Choices $73 435%
Blue Cross Blue Shield $106 631%
Medicare (plans) $109 - $119 649%
UnitedHealthcare $114 - $134 679%
The Alliance $117 696%
Iowa Total Care $133 792%
Geha $134 798%
Medicaid / KanCare $135 - $136 804%
Amish Hospital Aid $143 851%
1199 National Benefit Fund $159 946%
Aetna $159 946%
Allied Benefit Systems $159 946%
Asr Health Benefits $159 946%
Christian Brother Services $159 946%
Coventry $159 946%
First Health $159 946%
Luminare Health $159 946%
Medical Mutual $159 946%
Meritain $159 946%
Trustmark Small Business Benefits $159 946%
Webtpa $159 946%
Auxiant $173 1030%
Cigna $173 1030%
Medica $173 1030%
Midlands $173 1030%
Midlands Choice $173 1030%
Multiplan $173 1030%
Ambetter / Centene $181 1077%
Crime Victim Assistance $192 1143%
Iowa Dept Of Public Health $192 1143%
Claimdoc $216 1286%
Nova $216 1286%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 3Rd Street Sw, Dyersville, IA 52040
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals