CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Pulaski Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $71
Cash Discount Price: $151
vs. Medicare Baseline: 4.23x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Pulaski Memorial Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.23x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $151 (899%)

Insurance Median: $71 (423%)

Cash: $151 (899% of Medicare)

Ins. Median: $71 (423% 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 423% of the Medicare baseline (a markup of 323%). 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	$17 - $167	101%
Caresource Mcaid Hhw	$17	101%
Cenpatico Mcaid Hhw - All Other Plans	$17	101%
Mdwise Mcaid Hcc	$17	101%
Mdwise Mcaid Hhw	$17	101%
Mhs Mcaid Hhw/Hcc	$17	101%
UnitedHealthcare	$17 - $198	101%
Ambetter / Centene	$19 - $78	113%
Caresource Mcaid Hip	$19 - $78	113%
Caresource Mcare Hmo	$19 - $78	113%
Cenpatico Mcaid Hip	$19 - $78	113%
Humana	$19 - $202	113%
Mdwise Mcaid Hip - All Other Plans	$19 - $78	113%
Mhs Mcaid Hip	$19 - $78	113%
Mhs Mcare Allwell	$19 - $79	113%
Aetna	$22 - $90	131%
Caresource Exch Hmo Hix - All Other Plans	$24 - $97	143%
Sagamore Rose Acre	$45 - $187	268%
Sagamore - All Other Plans	$46 - $190	274%
Encore Ppo - All Other Plans	$52 - $213	310%
Community Health Alliance - All Plans	$54 - $223	321%
Encore Workers Comp	$55 - $226	327%
Multiplan - All Plans	$55 - $226	327%
Cigna	$58 - $239	345%

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 $151.
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 Pulaski Memorial Hospital 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.