CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Memorial Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $202
  • Cash Discount Price: $337
  • vs. Medicare Baseline: 12.02x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Memorial Medical Center is $202. 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 12.02x the Medicare baseline. Located in 701 N First St, Springfield, IL.
Cash / Self-Pay
$337

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

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: $202 (1202%)
Cash: $337 (2006% of Medicare)
Ins. Median: $202 (1202% 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 1202% of the Medicare baseline (a markup of 1102%). 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 $8 - $219 48%
Veterans Administration $12 71%
Medicaid / KanCare $13 77%
Molina $14 83%
Blue Cross Blue Shield $15 - $337 89%
Aetna $16 - $256 95%
Medicare (plans) $16 - $337 95%
Tricare $16 95%
UnitedHealthcare $16 - $209 95%
Humana $17 - $202 101%
Healthlink $59 - $212 351%
Commercial Workers Compensation $93 554%
Illinois Workers Compensation $98 583%
Current Health Network Ppo $152 905%
Cigna $177 1054%
Phcs/Multiplan $182 - $202 1083%
6 Degrees Health $202 1202%
Hopetrust $202 1202%
Hst $202 1202%
Magellan $202 1202%
Consociate $219 1304%
Hfn $219 1304%
Preferred Plan $253 1506%
Soi Mcfarland $253 1506%
Soi Rushville $253 1506%
Corvel $270 1607%
Methodist First Choice $270 1607%
Mutual Medical Plans $286 1702%
Liability $337 2006%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N First St, Springfield, IL 62702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals