CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Merit Health River Oaks

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $13
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Merit Health River Oaks is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 0.77x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $5 (30%)
Insurance Median: $13 (77%)
Cash: $5 (30% of Medicare)
Ins. Median: $13 (77% 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
First Choice Coventry $2 - $335 12%
First Choice Mpcn Standard $2 - $354 12%
First Choice Ppo Plus $2 - $354 12%
First Choice Standard $2 - $296 12%
Ms State Hospital Of Whitfield Ms $2 - $245 12%
Phcs $2 - $386 12%
UnitedHealthcare $2 - $172 12%
Aetna $3 - $451 18%
American Health Group $3 - $547 18%
Beech Street $3 - $547 18%
Benefit Administration Services $3 - $547 18%
Benefit Management Systems $3 - $547 18%
Cigna $3 - $128 18%
Citizens State Bank Inc $3 - $547 18%
First Choice Stratose $3 - $515 18%
Formost $3 - $547 18%
One Health Plan $3 - $580 18%
Prime Health Services $3 - $515 18%
Tricare $3 - $15 18%
Usa Mco $3 - $547 18%
Advanced Health Systems $4 - $28 24%
Blue Cross Blue Shield $4 - $24 24%
Humana $4 - $16 24%
Medicaid / KanCare $4 - $17 24%
Medicare (plans) $4 - $16 24%
Molina $4 - $17 24%
Molina Exchange $4 - $29 24%
Ms Dept Of Rehabilitation Services $4 - $644 24%
Node Champva $4 - $16 24%
Node Devoted Health Mcr Adv $4 - $17 24%
Node First Choice American Health Mcr Adv $4 - $17 24%
Node First Choice Seven Corners $4 - $29 24%
Node First Choice Shared Health Of Ms Mcr Adv $4 - $16 24%
Node First Choice Wellcare Mcr Adv $4 - $17 24%
Node Healthy Mississippi Mcr Adv $4 - $18 24%
Node Hospice Non Par Agree $4 - $17 24%
Node Va $4 - $17 24%
Node Vantage Health Mcr Adv $4 - $16 24%
Self Pay $4 - $142 24%
Veterans Eval Services $4 - $17 24%
Node Us Dept Of Labor $5 - $21 30%
Trimed Billing Solutions $5 - $193 30%
First Choice Preferred $6 - $25 36%
Magnolia Exchange $6 - $29 36%
Node First Choice Occunet $6 - $25 36%
First Choice Lgp $8 - $37 48%
Vantage Health Commercial $8 - $38 48%
Caresource Truecare $15 89%
Magnolia Mcd Chip $15 89%
Molina Chip $16 95%
Ms Work Comp $31 185%
Prime Health Wc $31 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals