CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Mercy Hospital Joplin
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $17
- Cash Discount Price: $35
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercy Hospital Joplin is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$35
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
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: $35 (208%)
Insurance Median: $17 (101%)
Cash: $35 (208% of Medicare)
Ins. Median: $17 (101% 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.
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 |
|---|---|---|
| Humana | $5 - $28 | 30% |
| Point C Contracted [320238] | $6 - $74 | 36% |
| Benefit Management Contracted [320052] | $7 - $40 | 42% |
| Health Systems Inc Contracted [320174] | $7 - $40 | 42% |
| Insurance System Inc Contracted [320465] | $7 - $40 | 42% |
| Administrative Payor Contracted [320005] | $8 - $41 | 48% |
| Mercy Benefit Admin Contracted [320251] | $8 - $103 | 48% |
| Aither Health Contracted [320449] | $10 - $52 | 60% |
| Edison Health Solutions Contracted [320502] | $10 - $52 | 60% |
| Auxiant Contracted [320462] | $11 - $60 | 65% |
| Healthlink Contracted [320179] | $11 - $101 | 65% |
| Indian Health Service Contracted [320198] | $11 - $60 | 65% |
| Preferred Health Plan Contracted [320522] | $11 - $60 | 65% |
| American Healthcare Alliance Contracted [320020] | $12 - $64 | 71% |
| Blue Cross Blue Shield | $12 - $67 | 71% |
| First Health Contracted [320128] | $12 - $63 | 71% |
| Multiplan Contracted [320270] | $13 - $71 | 77% |
| Private Health Care Systems Contracted [320320] | $13 - $71 | 77% |
| Usable Contracted [320409] | $13 - $71 | 77% |
| Point C [20238] | $14 - $74 | 83% |
| Workers Comp [20426] | $14 - $92 | 83% |
| Aetna | $15 - $20 | 89% |
| Medicaid / KanCare | $15 - $27 | 89% |
| Ppo Plus Contracted [320310] | $15 - $83 | 89% |
| Usa Managed Care Org Contracted [320429] | $15 - $81 | 89% |
| Champva [20065] | $16 | 95% |
| Cherokee Nation Health Serv Contracted [320066] | $16 | 95% |
| Cigna | $16 - $96 | 95% |
| Cross Timbers Hospice [20098] | $16 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $16 | 95% |
| Elara Caring Aspire Hospice [20433] | $16 | 95% |
| Globalhealth Contracted [320145] | $16 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $16 | 95% |
| Halo Hcr Inc Hospice [20432] | $16 | 95% |
| Kindful Hospice Contracted [320434] | $16 | 95% |
| Kindful Hospice [20434] | $16 | 95% |
| Medica Contracted [320239] | $16 | 95% |
| Medicare (plans) | $16 - $17 | 95% |
| Mercy Hospice Okc [20252] | $16 | 95% |
| Mercy Mgd Behavioral Health Contracted [320259] | $16 | 95% |
| Pace Of The Ozarks Contracted [320518] | $16 | 95% |
| Provider Partners Health Plans Contracted [320450] | $16 | 95% |
| Qual Choice Contracted [320325] | $16 | 95% |
| Tricare | $16 | 95% |
| UnitedHealthcare | $16 - $23 | 95% |
| United Medical Resources Contracted [320454] | $17 - $60 | 101% |
| Health Choice Contracted [320166] | $21 | 125% |
| Healthscope Contracted [320182] | $21 | 125% |
| Ambetter / Centene | $27 | 161% |
| Home State Health Plan Contracted [320187] | $27 | 161% |
| Novasys Contracted [320285] | $27 | 161% |
| Centivo Contracted [320505] | $28 | 167% |
| Providrs Care Network Contracted [320484] | $32 | 190% |
| Ebms Contracted [320493] | $34 | 202% |
| Imagine 360 Contracted [320494] | $34 | 202% |
| Reflect Health Contracted [320492] | $34 | 202% |
| Yuzu Health Contracted [320521] | $34 | 202% |
| 90 Degree Benefits Contracted [320436] | $98 | 583% |
| Show-Me Health Administrators Contracted [320483] | $98 - $103 | 583% |