CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: St Joseph's Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $32
Cash Discount Price: $72
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at St Joseph's Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.90x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $72 (429%)

Insurance Median: $32 (190%)

Cash: $72 (429% of Medicare)

Ins. Median: $32 (190% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Sae Hospice	$3 - $184	18%
Clear Spring Health of Illinois	$3 - $184	18%
Aetna	$3 - $184	18%
Molina Healthcare	$3 - $184	18%
Humana	$3 - $184	18%
UnitedHealthcare	$3 - $184	18%
Blue Cross Blue Shield	$3 - $184	18%
Amish Community	$4 - $52	24%
Naphcare	$6 - $386	36%
Celtic Insurance Company	$7 - $184	42%
Claim Doc	$8 - $460	48%
Hopetrust	$8 - $184	48%
Wellfirst	$10 - $118	60%
First Health	$11 - $136	65%
Multiplan/Phcs	$13 - $156	77%
Healthlink	$13 - $156	77%
Healthcare Finest Network (Hfn)	$14 - $166	83%
Provider Network of America	$14 - $166	83%
Cigna	$15 - $41	89%
Interplan	$15 - $184	89%
Consociate Group	$15 - $184	89%
Healthscope	$15 - $184	89%
Qtc Medical Group of Illinois	$15 - $184	89%
Mental Health Network	$15 - $184	89%
Health Alliance Medical Plans	$15 - $184	89%
Illinois Breast and Cervical Cancer Program	$15 - $184	89%
Current Health Solutions	$15 - $184	89%
Caterpillar, Inc.	$15 - $34	89%
Meridian Health Plan	$23	137%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $72.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Joseph's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.