CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: St Francis Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $112
  • Cash Discount Price: $167
  • vs. Medicare Baseline: 6.67x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at St Francis Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.67x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$167

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $167 (994%)
Insurance Median: $112 (667%)
Cash: $167 (994% of Medicare)
Ins. Median: $112 (667% 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 667% of the Medicare baseline (a markup of 567%). 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
Pace-Trinity Health $16 95%
Saint Francis Life $16 95%
Blue Cross Blue Shield $17 - $281 101%
Blue Shield - De (Highmark) Medciare Advantage $17 101%
Cigna $17 - $251 101%
Highmark Health Options Dual Plan $17 101%
Medicare (plans) $17 - $18 101%
Aetna $18 - $264 107%
Coventry $20 119%
Delaware First Health $35 208%
Medicaid / KanCare $38 - $142 226%
Meritain $71 - $264 423%
Trustmark Small Business Benefits $71 - $264 423%
Devon Health Services $104 - $386 619%
Galaxy Health Network $104 - $386 619%
Multiplan $104 - $386 619%
Prime Health Services $104 - $386 619%
Three Rivers Provider Network $104 - $386 619%
Wc Corvel $104 - $386 619%
Geha $105 - $390 625%
UnitedHealthcare $105 - $390 625%
Blue Benefit Administrators Of Massachusetts $112 667%
Blue Care Network $112 667%
Blue Distinction Transplant $112 667%
Blue Shield - Ca $112 667%
Blue Shield - Id (Regence) $112 667%
Blue Shield - Ny Highmark Northeastern $112 667%
Blue Shield - Ny Highmark Western $112 667%
Blue Shield - Pa (Highmark) $112 667%
Blue Shield - Wa (Regence) $112 667%
Amerihealth $281 1673%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals