CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Woodlawn Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $47
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Woodlawn Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.80x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $115 (685%)
Insurance Median: $47 (280%)
Cash: $115 (685% of Medicare)
Ins. Median: $47 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Blue Cross Blue Shield $8 - $162 48%
Partners Direct Health-All Plans $16 - $36 95%
UnitedHealthcare $16 - $162 95%
Caresource Mcaid Hww $17 101%
Mdwise Excel Hhw & Hcc $17 101%
Mhs Mcaid Hcc $17 101%
Mhs Mcaid Hhw $17 101%
Aetna $20 - $202 119%
Caresource Mcaid Hip $20 - $47 119%
Caresource Mcr Adv $20 - $47 119%
Humana $20 - $165 119%
Mdwise Mcaid Excel Hip $20 - $47 119%
Mhs Exch Mrktplce-All Other Plans $20 - $47 119%
Mhs Mcaid Hip $20 - $47 119%
Mhs Mcr Adv $21 - $48 125%
Ambetter / Centene $27 - $62 161%
Caresource Exch - All Other Plans $27 - $61 161%
Cigna $67 - $181 399%
Parkview Health Plans-All Plans $70 - $160 417%
Sagamore All Other Grps - All Other Plans $78 - $179 464%
Encore Comm-All Plans $79 - $181 470%
Phcs/Multiplan-All Plans $86 - $198 512%
Community Health Alliance-All Plans $88 - $202 524%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals