CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Bluffton Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $18
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Bluffton Regional Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.07x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $12 (71%)
Insurance Median: $18 (107%)
Cash: $12 (71% of Medicare)
Ins. Median: $18 (107% 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 - $207 12%
Cigna $2 - $165 12%
Consumer Life $2 - $288 12%
Encore Ppo $2 - $227 12%
Lutheran Preferred Network $2 - $372 12%
Lutheran Trma $2 - $209 12%
Php Management Systems $2 - $180 12%
Sagamore Health Newtork Inc $2 - $249 12%
Sagamore Sebt $2 - $238 12%
Self Pay $2 - $256 12%
UnitedHealthcare $2 - $230 12%
Advantage 360 $3 - $386 18%
Ahg Dana Employees $3 - $302 18%
Align Networks $3 - $326 18%
Amish Aid $3 - $112 18%
Community Health Alliance $3 - $395 18%
Encore Health Network $3 - $418 18%
First Health $3 - $400 18%
Multiplan $3 - $372 18%
Northeast Hospice $3 - $326 18%
Prime Health Services $3 - $349 18%
Private Healthcare Systems Inc $3 - $349 18%
Tricare $3 - $16 18%
Allied Benefit Systems $4 - $418 24%
Blue Cross Blue Shield $4 - $27 24%
Cardinal Health Alliance $4 - $418 24%
County Jail Health Care $4 - $17 24%
Department Of Veterans Affairs $4 - $16 24%
Humana $4 - $17 24%
In Dept Of Correction $4 - $17 24%
Medicare (plans) $4 - $16 24%
Node Caresource Mcr Adv $4 - $16 24%
Node Devoted Health Mcr Adv $4 - $17 24%
Node Iu Health Mcr Adv $4 - $16 24%
Node Mhs Mcr Adv $4 - $16 24%
Node Non Par Hospice Agree $4 - $17 24%
Node Pphp Mcr Adv $4 - $18 24%
Node Va $4 - $17 24%
Php $4 - $43 24%
Php Freedom Network $4 - $30 24%
Physicians Health Plan $4 - $40 24%
Ppom $4 - $418 24%
Veterans Eval Services $4 - $17 24%
Us Department Of Labor $5 - $21 30%
Lutheran Advanced Network $6 - $25 36%
Lutheran Three Rivers Preferred Plus 150 $6 - $25 36%
Encore Work Comp In $7 - $30 42%
Lutheran Three Rivers Preferred Plus 175 $7 - $29 42%
Lutheran Northwest Health Preferred $8 - $34 48%
Managed Health Services Exchange $8 - $34 48%
Workers Compensation $8 - $34 48%
Encore Kba Epo $10 - $40 60%
Encore Kba Ppo $12 - $50 71%
Caresource $17 101%
Medicaid / KanCare $17 101%
Mhs $17 101%
Mhs In Hip $17 101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals