CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Deaconess Illinois Crossroads

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $48
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 2.86x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Deaconess Illinois Crossroads is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.86x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$34

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: $34 (202%)
Insurance Median: $48 (286%)
Cash: $34 (202% 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
Blue Cross Blue Shield $4 - $263 24%
UnitedHealthcare $10 - $321 60%
Self-Pay $13 - $122 77%
Aetna $16 - $437 95%
Meridian Health Plan $16 - $17 95%
Molina Healthcare Of Illinois $16 - $17 95%
Wellcare $16 - $17 95%
Alliance Coal $17 - $18 101%
Care Improvement Plus $17 101%
Deaconess Onecare $17 - $293 101%
Encore Combined $17 - $337 101%
Encore Prime/Elite/Elite + $17 - $303 101%
Humana $17 - $431 101%
Mytru Advantage $17 101%
Umwa $17 101%
Alter-Net Medical Services, Inc. $21 - $193 125%
Hope Trust $21 - $193 125%
Cigna $24 - $215 143%
Noncontracted $27 161%
Wexford Health Sources $27 - $387 161%
Great West Healthcare Of Illinois $45 - $415 268%
Prime Health Services $45 - $415 268%
Healthlink $48 - $470 286%
Multiplan - Primary Network - Phcs $48 - $434 286%
Coventry Healthcare $51 - $465 304%
First Health $51 - $465 304%
Guardian Resources, Inc. $51 - $464 304%
Healthcare'S Finest Network (Hfn) $51 - $470 304%
Medicalcontrol Network Solutions $51 - $470 304%
National Provider Network $51 - $470 304%
Multiplan - Complementary Network $52 - $472 310%
Beech Street $53 - $486 315%
Three Rivers Provider Network $53 - $481 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals