CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Franciscan Health Munster

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $85
Cash Discount Price: $51
vs. Medicare Baseline: 5.06x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Franciscan Health Munster is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.06x the Medicare baseline. Located in 701 Superior Ave, Munster, IN.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $51 (304%)

Insurance Median: $85 (506%)

Cash: $51 (304% of Medicare)

Ins. Median: $85 (506% 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 506% of the Medicare baseline (a markup of 406%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$13 - $128	77%
Mdwise [1175]	$17	101%
Medicaid / KanCare	$17 - $20	101%
Medicare (plans)	$17	101%
Unicare [1150]	$17	101%
Managed Health Services [1302]	$19	113%
Workers Comp [1172]	$34	202%
Aetna	$50	298%
Commercial [2001]	$50 - $116	298%
Managed Care [2000]	$50 - $116	298%
Cigna	$72 - $116	429%
United Medical Resources [1158]	$100 - $109	595%
United Medical Resources [1301]	$100 - $109	595%
UnitedHealthcare	$100 - $109	595%
Great West Insurance [1055]	$116	690%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $51.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Franciscan Health Munster is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.