CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Decatur Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $156
Cash Discount Price: $337
vs. Medicare Baseline: 9.29x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Decatur Memorial Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $337. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 9.29x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.

Cash / Self-Pay

$337

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $337 (2006%)

Insurance Median: $156 (929%)

Cash: $337 (2006% of Medicare)

Ins. Median: $156 (929% 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 929% of the Medicare baseline (a markup of 829%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$13 - $14	77%
Blue Cross Blue Shield	$15 - $337	89%
Aetna	$16 - $226	95%
Coventry	$16 - $171	95%
Health Alliance	$16 - $224	95%
Humana	$16 - $219	95%
Medicare (plans)	$16	95%
UnitedHealthcare	$16 - $337	95%
Veterans Administration	$16	95%
Wellcare	$16	95%
Tricare	$17	101%
Caterpillar	$21	125%
Plain Church Medical Group	$23 - $152	137%
Illinois Workers Compensation	$73 - $112	435%
Hfn	$105 - $253	625%
Commercial Workers Compensation	$107	637%
Mennonite Churches	$118	702%
Health Alliance Mh Employee Plan	$155	923%
Cigna	$157	935%
6 Degrees Health	$202	1202%
Hopetrust	$202	1202%
Hst	$202	1202%
Phcs Savility	$219	1304%
Phcs Multiplan Ppo	$229	1363%
Healthlink	$231	1375%
Corvel	$243	1446%
Consociate	$249	1482%
Liability	$337	2006%

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 $337.
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 Decatur Memorial 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.