CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Hammond Henry Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $161
Cash Discount Price: $196
vs. Medicare Baseline: 9.58x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Hammond Henry Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 9.58x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $196 (1167%)

Insurance Median: $161 (958%)

Cash: $196 (1167% of Medicare)

Ins. Median: $161 (958% 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 958% of the Medicare baseline (a markup of 858%). 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
Aetna	$26 - $164	155%
Blue Cross Blue Shield	$26 - $131	155%
Meridian Health Plan-All Plans	$26	155%
Quad City Community Hc-All Plans	$37	220%
Geneseo Good Samaritan Village Op Only-All Plans	$47	280%
Tricare	$57	339%
Health Alliance Mcare Adv	$63	375%
UnitedHealthcare	$63 - $161	375%
Humana	$64 - $196	381%
Wellmark Of Ia-All Plans	$109	649%
Springfield Armory-All Plans	$142	845%
Ambetter / Centene	$153	911%
Health Alliance-All Other Plans	$164	976%
Multiplan Integrated Hp	$164	976%
Cigna	$168	1000%
Multiplan Pponext	$174	1036%
Osf Direct Access Network-All Plans	$174	1036%
Multiplan-All Other Plans	$185	1101%
Corvel-All Plans	$196	1167%
Healthsmart Adult-All Other Plans	$196	1167%
Healthsmart Pediatric	$196	1167%
Hfn-All Plans	$196	1167%
Multiplan Beech Street	$196	1167%
Multiplan Phcs Adult	$196	1167%
Multiplan Phcs Pediatric	$196	1167%
Usa Mco-All Plans	$196	1167%

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 $196.
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 Hammond Henry 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.