CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Hamilton Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $63
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 3.75x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Hamilton Memorial Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.75x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $67 (399%)
Insurance Median: $63 (375%)
Cash: $67 (399% of Medicare)
Ins. Median: $63 (375% 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 375% of the Medicare baseline (a markup of 275%). 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
Medicaid / KanCare $29 - $32 173%
Blue Cross Blue Shield $30 - $72 179%
Aetna $32 - $71 190%
Health Alliance $32 - $63 190%
Humana $32 190%
Medicare (plans) $32 190%
UnitedHealthcare $32 - $56 190%
Wellcare $32 190%
Alliance Coal $55 327%
Healthscope $55 327%
Wellfirst (Ssmhic) $55 327%
Hope Trust $59 351%
Cigna $62 369%
Hfn, Inc $63 - $71 375%
Healthlink $67 - $71 399%
Multiplan $67 399%
Siho $71 423%
Three Rivers Provider $71 423%
Healthsmart $75 446%
Stratose $75 446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 S Marshall Avenue, McLeansboro, IL 62859
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals