CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Illini Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $351
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 20.89x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Illini Community Hospital is $351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 20.89x the Medicare baseline. Located in 640 W Washington, Pittsfield, IL.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$351

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: $247 (1470%)
Insurance Median: $351 (2089%)
Cash: $247 (1470% of Medicare)
Ins. Median: $351 (2089% 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 2089% of the Medicare baseline (a markup of 1989%). 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 $121 720%
Blue Cross Blue Shield $212 - $351 1262%
Blue Access $247 1470%
United Behavioral Health $247 1470%
UnitedHealthcare $330 1964%
Aetna $351 2089%
Blue Preferred $351 2089%
Cigna $351 2089%
Health Link $351 2089%
Private Healthcare Systems-Multi Plan Primary $351 2089%
Health Link Ppo $371 2208%
Private Healthcare Systems-Multi Plan Complementary $371 2208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 640 W Washington, Pittsfield, IL 62363
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals