CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: St Joseph Health System, LLC

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $22
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at St Joseph Health System, LLC is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.31x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $25 (149%)
Insurance Median: $22 (131%)
Cash: $25 (149% of Medicare)
Ins. Median: $22 (131% 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.

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 $2 - $233 12%
Blue Cross Blue Shield $2 - $124 12%
Cigna $2 - $343 12%
Encore Ppo $2 - $309 12%
Lutheran Network $2 - $189 12%
Lutheran Preferred $2 - $206 12%
Php $2 - $137 12%
Sagamore $2 - $186 12%
Self Pay $2 - $189 12%
Three Rivers $2 - $154 12%
UnitedHealthcare $2 - $171 12%
Advantage Health Solutions $3 - $285 18%
Align Network $3 - $274 18%
Amish Aid $3 - $82 18%
First Health $3 - $257 18%
Frontpath Health Coalition $3 - $274 18%
Multiplan $3 - $268 18%
Prime Health Services $3 - $257 18%
Tricare $3 - $16 18%
Allied Benefit Systems $4 - $309 24%
Department Of Veterans Affairs $4 - $16 24%
Humana $4 - $17 24%
In Dept Of Correction $4 - $17 24%
Managed Health Services $4 - $34 24%
Medical Mutual Of Ohio $4 - $343 24%
Medicare (plans) $4 - $16 24%
Node Devoted Health Mcr Adv $4 - $17 24%
Node Hospice Non Par Agree $4 - $17 24%
Node Pphp Mcr Adv $4 - $18 24%
Node Va $4 - $17 24%
Parkview Healthplan Services $4 - $343 24%
Php Freedom Network $4 - $30 24%
Value Options $4 - $343 24%
Veterans Eval Services $4 - $17 24%
Us Department Of Labor $5 - $21 30%
Lutheran Advanced Network $6 - $25 36%
Encore Work Comp In $7 - $30 42%
Work Comp $8 - $34 48%
Encore Kba Epo $10 - $40 60%
Encore Kba Ppo $12 - $50 71%
Caresource $17 101%
Medicaid / KanCare $17 101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals