CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $121
  • Cash Discount Price: $161
  • vs. Medicare Baseline: 7.20x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Saint Joseph Regional Medical Center - Plymouth is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 7.20x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$161

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $161 (958%)
Insurance Median: $121 (720%)
Cash: $161 (958% of Medicare)
Ins. Median: $121 (720% 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 720% of the Medicare baseline (a markup of 620%). 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 - $121 54%
Blue Cross Blue Shield $9 - $34 54%
Medicaid / KanCare $9 - $17 54%
UnitedHealthcare $9 - $157 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 - $205 149%
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 - $173 179%
Allied Benefit Systems $32 - $161 190%
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%
Plain Church Group $67 399%
Asr Health Benefits $121 720%
Christian Brother Services $121 720%
Employee Benefit Management $121 720%
Medical Mutual $121 720%
Meritain $121 720%
Preferred One $121 720%
Rural Carrier Health Benefit Plan $121 720%
Webtpa $121 720%
Notre Dame Athletic Association $136 810%
Wc Notre Dame $136 810%
Luminare Health (Detroit) $141 - $148 839%
Ameriben $148 881%
Geha $157 935%
Healthscope $157 935%
Student Insurance Cma $157 935%
Encore Health $173 1030%
Indiana Criminal Justice Inst $173 1030%
Western & Southern Financial Group $173 1030%
Cigna $178 1060%
Group Administrators $178 1060%
Health Partners $178 1060%
Mvp $178 1060%
Prairie States $178 1060%
Priority Health $178 1060%
Professional Benefit Administrators $178 1060%
Sagamore Health Network $178 - $190 1060%
Sisco Benefits $178 1060%
Unified Group Services $178 1060%
Goshen Preferred Network $190 - $212 1131%
Signature Care $205 1220%
Allied National Global Care $222 1321%
Asrm - Reliance Standard Life Insurance $222 1321%
Avmed Health Plan $222 1321%
Christian Care Ministry $222 1321%
Dean Health $222 1321%
Fallon Health $222 1321%
Family Life Insurance Company $222 1321%
Freedom Life Insurance Company $222 1321%
Ghc Scw $222 1321%
International Benefit Administrators $222 1321%
Lifetime Benefit Solutions $222 1321%
Manhattan Life $222 1321%
Medi Share $222 1321%
Multiplan $222 1321%
Pai $222 1321%
Pan-American Life $222 1321%
Paramount Hmo $222 1321%
Phcs $222 1321%
Philadelphia American Life Insurance $222 1321%
Trinity Health Share $222 1321%
Bankers Life Casualty $247 1470%
Wc Align Network $247 1470%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals