CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Northeast Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $320
  • Cash Discount Price: $355
  • vs. Medicare Baseline: 19.05x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Northeast Regional Medical Center is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $355. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 19.05x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$355

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

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: $355 (2113%)
Insurance Median: $320 (1905%)
Cash: $355 (2113% of Medicare)
Ins. Median: $320 (1905% 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 1905% of the Medicare baseline (a markup of 1805%). 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
Medicaid / KanCare $15 - $25 89%
Node Champva $15 89%
Tricare $15 89%
Medicare (plans) $16 95%
Blue Access $17 101%
Blue Cross Blue Shield $17 - $274 101%
Blue Pathway/Pathway X $17 101%
Blue Prefrerred $17 101%
Node Devoted Health Mcr Adv $17 101%
Node Hospice Non Par Agree $17 101%
Node Va $17 101%
UnitedHealthcare $17 - $674 101%
Veterans Eval Services $17 101%
Centurion Correctional $21 125%
Us Department Of Labor $21 125%
Home State Exchange $30 179%
Naphcare $32 190%
Immergrun $34 202%
Self Pay $216 - $495 1286%
Cigna $306 - $352 1821%
Aetna $335 - $750 1994%
Access Health Services, Llc $585 3482%
Healthlink $674 - $719 4012%
Multiplan $674 - $719 4012%
Coventry Wc $719 4280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals