CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mc Donough District Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $115
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 6.85x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mc Donough District Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.85x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $56 (333%)
Insurance Median: $115 (685%)
Cash: $56 (333% of Medicare)
Ins. Median: $115 (685% 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 685% of the Medicare baseline (a markup of 585%). 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
Health Alliance $10 - $125 60%
Aetna $13 - $140 77%
Blue Cross Blue Shield $13 - $140 77%
Humana $13 - $126 77%
Medicaid / KanCare $13 - $140 77%
Hfn $15 - $126 89%
UnitedHealthcare $15 - $126 89%
Tricare $16 95%
Medicare (plans) $17 101%
Meridian $17 101%
Molina $17 - $140 101%
Mutual Medical $17 - $140 101%
Veteran Affairs $17 101%
Springfield Health $115 685%
Consociate $119 708%
Trilogy $119 708%
Blue Choice $126 750%
Current Health $126 750%
Healthlink $126 - $132 750%
Preferred Plan $133 792%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals