CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Saint Joseph Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $94
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 5.60x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Saint Joseph Regional Medical Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.60x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$234

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $234 (1393%)
Insurance Median: $94 (560%)
Cash: $234 (1393% of Medicare)
Ins. Median: $94 (560% 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 560% of the Medicare baseline (a markup of 460%). 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
Aetna $9 - $176 54%
Blue Cross Blue Shield $9 - $34 54%
Medicaid / KanCare $9 - $17 54%
UnitedHealthcare $9 - $229 54%
County Coroner $17 101%
Managed Health Services - Indiana $17 101%
Mdwise $17 101%
Medicare (plans) $17 101%
Meridian Complete $17 101%
Pace-Trinity Health $17 101%
Provider Partners Health Plan Of Indiana $18 107%
Bureau Of Disability $24 143%
Auxiant $25 - $299 149%
Physicians Health Plan Northern Indiana Health Insurance $25 - $51 149%
St Joseph County Hlth Dpt $25 149%
Caresource $26 155%
Siho Insurance Services $27 161%
Key Benefit Administrator $30 - $224 179%
Allied Benefit Systems $32 - $234 190%
Blue Benefit Administrators Of Massachusetts $34 202%
Blue Care Network $34 202%
Blue Distinction Transplant $34 202%
Blue Shield - Ca $34 202%
Blue Shield - Id (Regence) $34 202%
Blue Shield - Ny Highmark Northeastern $34 202%
Blue Shield - Ny Highmark Western $34 202%
Blue Shield - Pa (Highmark) $34 202%
Blue Shield - Wa (Regence) $34 202%
Custom Design Benefits $36 214%
Hospice Of Marshall County $94 560%
Hospice Of St Joseph County $94 560%
Plain Church Group $97 577%
Asr Health Benefits $176 1048%
Christian Brother Services $176 1048%
Employee Benefit Management $176 1048%
Medical Mutual $176 1048%
Meritain $176 1048%
Preferred One $176 1048%
Rural Carrier Health Benefit Plan $176 1048%
Webtpa $176 1048%
Notre Dame Athletic Association $198 1179%
Wc Notre Dame $198 1179%
Luminare Health (Detroit) $205 - $216 1220%
Encore Health $213 - $224 1268%
Ameriben $216 1286%
Indiana Criminal Justice Inst $224 1333%
Western & Southern Financial Group $224 1333%
Geha $229 1363%
Healthscope $229 1363%
Student Insurance Cma $229 1363%
Cigna $230 1369%
Group Administrators $230 1369%
Health Partners $230 1369%
Mvp $230 1369%
Prairie States $230 1369%
Priority Health $230 1369%
Professional Benefit Administrators $230 1369%
Sagamore Health Network $230 - $266 1369%
Sisco Benefits $230 1369%
Unified Group Services $230 1369%
Goshen Preferred Network $277 - $310 1649%
Christian Brothers Holy Cross $288 1714%
Signature Care $288 1714%
Bankers Life Casualty $360 2143%
Wc Align Network $360 2143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals