CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Jacksonville Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $186
Cash Discount Price: $324
vs. Medicare Baseline: 11.07x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Jacksonville Memorial Hospital is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $324. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 11.07x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$324

Average discount available for prompt cash payment at this facility.

Insurance Median

$186

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: $324 (1929%)

Insurance Median: $186 (1107%)

Cash: $324 (1929% of Medicare)

Ins. Median: $186 (1107% 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 1107% of the Medicare baseline (a markup of 1007%). 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
Blue Cross Blue Shield	$16 - $324	95%
Coventry	$16 - $51	95%
Health Alliance	$16 - $220	95%
Humana	$16 - $276	95%
Medicare (plans)	$16 - $51	95%
Tricare	$16 - $59	95%
UnitedHealthcare	$17 - $233	101%
Medicaid / KanCare	$21	125%
Molina Healthcare	$21	125%
Corvel/Corcare	$68 - $84	405%
Illinois Workers Compensation	$73 - $116	435%
Commercial Workers Compensation	$110	655%
Health Alliance Mh Employee Plan	$149	887%
Current Health Network	$178 - $243	1060%
6 Degrees Health	$194	1155%
Hope Trust	$194	1155%
Hst	$194	1155%
Cigna	$225	1339%
Aetna	$226 - $259	1345%
Healthlink	$275	1637%
Phcs/Multiplan	$292	1738%
Hfn	$308	1833%
Liability	$324	1929%

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 $324.
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 Jacksonville Memorial 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.