CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $47
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mt Sinai Hospital Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.80x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $60 (357%)
Insurance Median: $47 (280%)
Cash: $60 (357% of Medicare)
Ins. Median: $47 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Oscar - All Plans $10 - $115 60%
Lawndale Christian - All Plans $12 - $71 71%
Blue Cross Blue Shield $16 - $224 95%
Cigna $16 - $436 95%
Tricare $16 95%
Va Healthnet - All Plans $16 95%
Advocate Physician Prtnrs Mcr $17 101%
Cenpatico Illinicare Dual $17 101%
Cenpatico Illinicare Mcr - All Other Plans $17 101%
Harmony Behavioral Htlh - All Plans $17 101%
Humana $17 - $1,107 101%
Meridian/Harmony D-Snp - All Plans $17 101%
Nextlevel Hlth Icp Fhp Aca - All Plans $17 101%
UnitedHealthcare $17 101%
Zing Mcr Adv - All Plans $17 101%
Advocate Physician Prtnrs - All Other Plans $18 107%
Aetna $18 - $797 107%
Ambetter / Centene $18 - $370 107%
Family Health Network Mcaid - All Plans $18 107%
Molina Mcr - All Other Plans $18 107%
Molina Mcaid $19 113%
Partners In Hlth - All Plans $24 - $141 143%
Healthlink Hmo $29 - $176 173%
Healthlink Ppo - All Other Plans $29 - $176 173%
Compsych Ip/Op Only - All Plans $35 - $212 208%
Hfn Platinum $38 - $229 226%
Multiplan Primary Ntwrk/Phcs - All Other Plans $41 - $247 244%
Hfn Epo $47 - $282 280%
Multiplan Complementary Ntwrk $47 - $282 280%
Hfn Ppo - All Other Plans $52 - $310 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals