CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Northwest Health - Starke

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $16
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Northwest Health - Starke is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 0.95x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $8 (48%)
Insurance Median: $16 (95%)
Cash: $8 (48% of Medicare)
Ins. Median: $16 (95% 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
Lutheran $2 - $27 12%
Self Pay $2 - $55 12%
Medpartners $3 - $34 18%
Alpha Baking $4 - $45 24%
Physicians Health Plan $4 - $42 24%
Encore $6 - $88 36%
Php $6 - $61 36%
UnitedHealthcare $6 - $71 36%
Aetna $7 - $87 42%
Multiplan Inc $7 - $91 42%
Blue Cross Blue Shield $8 - $27 48%
Cigna $8 - $84 48%
Community Health Alliance $8 - $91 48%
Coventry First Health $8 - $87 48%
Lutheran Network $8 - $89 48%
Sagamore Health Network $8 - $89 48%
Humana $9 - $17 54%
Managed Health Services $9 - $34 54%
Medicare (plans) $9 - $16 54%
Node Champva $9 - $16 54%
Node Devoted Health Mcr Adv $9 - $17 54%
Node Hospice Non Par Agree $9 - $17 54%
Node Va $9 - $17 54%
Ppom $9 - $95 54%
Tricare $9 - $16 54%
In Dept Of Correction $10 - $17 60%
Node Pphp Mcr Adv $10 - $18 60%
Us Department Of Labor $11 - $21 65%
Caresource $16 - $17 95%
Medicaid / KanCare $17 101%
Mhs $17 101%
Indiana Workers Comp $18 - $34 107%
Encore Kba Epo $22 - $40 131%
Magnacare Ma $22 - $40 131%
Encore Kba Ppo $28 - $50 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals