CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $327
  • Cash Discount Price: $286
  • vs. Medicare Baseline: 19.46x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Ann & Robert H Lurie Childrens Hospital of Chicago is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $286. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 19.46x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$286

Average discount available for prompt cash payment at this facility.

Insurance Median
$327

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: $286 (1702%)
Insurance Median: $327 (1946%)
Cash: $286 (1702% of Medicare)
Ins. Median: $327 (1946% 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 1946% of the Medicare baseline (a markup of 1846%). 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
Medicare (plans) $70 - $2,656 417%
UnitedHealthcare $84 - $92 500%
Mercycare Health $151 899%
Cigna $172 - $290 1024%
Blue Cross Blue Shield $177 - $327 1054%
Aetna $204 - $320 1214%
Beacon Health Options $204 1214%
La Rabida Childrens Hospital $204 1214%
Centegra $245 1458%
Independent Physicians At Mercy $245 1458%
Advanced Physicians Association Ipa $286 1702%
Health Plus $286 1702%
Imagine Health $286 1702%
Methodist First Choice $286 1702%
Northwest Community Healthcare $286 1702%
Presence Health Partners $286 1702%
St. Francis $286 1702%
Ui Health $286 1702%
West Suburban Health Providers $286 1702%
Shriners Hospital $307 1827%
Swedish Covenant Physician Partners $307 1827%
American Psych Systems $327 1946%
Health Alliance $327 1946%
Macneal Health $327 1946%
Magellan $327 - $900 1946%
Healthlink Inc. $337 2006%
Cofinity $348 2071%
Hfn Inc $348 - $368 2071%
Humana $348 2071%
Principal Healthcare $348 2071%
St. Elizabeth $348 2071%
First Health $360 2143%
Healthstar $360 2143%
Preferred Health Network $360 2143%
Sagamore Health Network $360 2143%
Beech Street $368 2190%
Benchmark Health $368 2190%
Employer'S Coalition On Health $368 2190%
Private Health Care System $368 2190%
Security Health Plan $368 2190%
Swedish American $368 2190%
Wellmark/Healthnetwork $376 2238%
Health Smart $389 2315%
Integrated Health Plan $389 2315%
Multiplan $389 2315%
National Provider Network $389 2315%
Wea Insurance Group $389 2315%
Unicare $3,678 - $8,500 21893%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens