CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Carle Health Methodist Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $48
  • Cash Discount Price: $236
  • vs. Medicare Baseline: 2.86x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Carle Health Methodist Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.86x the Medicare baseline. Located in 221 N E Glen Oak Ave, Peoria, IL.
Cash / Self-Pay
$236

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $236 (1405%)
Insurance Median: $48 (286%)
Cash: $236 (1405% of Medicare)
Ins. Median: $48 (286% 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 286% of the Medicare baseline (a markup of 186%). 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
Humana $14 - $17 83%
Molina $14 - $76 83%
Aetna $15 - $123 89%
Blue Cross Blue Shield $17 - $100 101%
UnitedHealthcare $17 - $50 101%
Wellcare $17 101%
Meridian $19 113%
Healthlink $25 149%
Multiplan/Phcs $36 - $126 214%
Cigna $48 - $169 286%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 221 N E Glen Oak Ave, Peoria, IL 61636
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals