CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Northwest Health - Porter

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $151
  • Cash Discount Price: $123
  • vs. Medicare Baseline: 8.99x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Northwest Health - Porter is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.99x the Medicare baseline. Located in 85 East Us Hwy 6, Valparaiso, IN.
Cash / Self-Pay
$123

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

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: $123 (732%)
Insurance Median: $151 (899%)
Cash: $123 (732% of Medicare)
Ins. Median: $151 (899% 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 899% of the Medicare baseline (a markup of 799%). 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
Blue Cross Blue Shield $8 - $25 48%
UnitedHealthcare $15 - $39 89%
Aetna $16 - $209 95%
Humana $16 - $17 95%
Medicare (plans) $16 - $18 95%
Node Mhs Mcr Adv $16 95%
Tricare $16 95%
Care Improvement Plus $17 101%
Caresource $17 101%
Healthy Indiana Plan $17 101%
In Dept Of Correction $17 101%
Managed Health Services $17 - $34 101%
Medicaid / KanCare $17 101%
Mhs $17 101%
Node Devoted Health Mcr Adv $17 101%
Node Hospice Non Par Agree $17 101%
Node Va $17 101%
Veterans Eval Services $17 101%
Node Us Dept Of Labor $21 125%
Align Network $27 161%
One Call Work Comp $27 161%
Encore Health $30 - $330 179%
Prime Health $30 - $309 179%
Indiana Work Comp $34 202%
Lutheran Preferred $34 - $247 202%
Node Encore Kba Epo $40 238%
Porter County $40 238%
Preferred Network Access $40 238%
Magnacare Ma $43 256%
Lutheran Preferred Chs Employees $90 - $99 536%
Self Pay $101 - $148 601%
Cigna $104 - $115 619%
Physicians Health Plan $143 - $158 851%
Php Freedom $154 - $170 917%
Sagamore Health Network $165 - $244 982%
First Health Coventry $183 - $202 1089%
Encore Ppo $186 - $206 1107%
Southeastem Indiana Health Operations $261 - $309 1554%
Network Synergy Group $280 - $309 1667%
Multiplan/Phcs $313 - $346 1863%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 85 East Us Hwy 6, Valparaiso, IN 46383
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals