CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Methodist Hospitals Inc

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $58
Cash Discount Price: $108
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Methodist Hospitals Inc is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.45x the Medicare baseline. Located in 600 Grant St, Gary, IN.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $108 (643%)

Insurance Median: $58 (345%)

Cash: $108 (643% of Medicare)

Ins. Median: $58 (345% 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 345% of the Medicare baseline (a markup of 245%). 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	$17 - $363	101%
Blue Cross Blue Shield	$17 - $427	101%
Caresource	$17	101%
Humana	$17	101%
Managed Health Services	$17	101%
Medicaid / KanCare	$17	101%
Medicare (plans)	$17	101%
United Heathcare	$17	101%
UnitedHealthcare	$17 - $25	101%
Zing	$17	101%
Caresource Maketplace	$28	167%
Cigna	$28 - $205	167%
Ambetter / Centene	$34	202%
Encore	$44 - $437	262%
Magnacare	$44	262%
Phcs	$50 - $334	298%
Physicians Health Plan Of Northern Indiana	$50	298%
Siho	$52 - $344	310%
Sagamore	$53 - $354	315%
Multiplan	$54 - $358	321%
Hfn	$58 - $417	345%

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 $108.
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 Methodist Hospitals Inc 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.