CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Dukes Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $35
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Dukes Memorial Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.08x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $36 (214%)
Insurance Median: $35 (208%)
Cash: $36 (214% of Medicare)
Ins. Median: $35 (208% 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 208% of the Medicare baseline (a markup of 108%). 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.

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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 - $100 48%
Aetna $11 - $148 65%
Department Of Veterans Affairs $11 - $58 65%
Humana $11 - $61 65%
Iu Health Plan $11 - $61 65%
Managed Health Services $11 - $124 65%
Medicare (plans) $11 - $61 65%
Node Devoted Health Mcr Adv $11 - $62 65%
Node Va $11 - $150 65%
Tricare $11 - $58 65%
UnitedHealthcare $11 - $153 65%
In Dept Of Correction $12 - $65 71%
Miami County Sheriffs Department $12 - $65 71%
Node Pphp Mcr Adv $12 - $65 71%
Caresource $16 - $17 95%
Lutheran Advanced Network $17 - $93 101%
Lutheran Three Rivers Preferred Plus 150 $17 - $93 101%
Medicaid / KanCare $17 101%
Mhs $17 101%
Node Lutheran Preferred Fixed 2 $17 - $93 101%
Veterans Eval Services $17 101%
Align Network $18 - $100 107%
Lutheran Preferred $18 - $249 107%
Lutheran Three Rivers Preferred Plus 175 $20 - $109 119%
Encore Work Comp In $21 - $112 125%
Prime Health Services $21 - $233 125%
Us Department Of Labor $21 125%
Partners Direct Health Llc $22 - $118 131%
Lutheran Northwest Health Preferred $23 - $124 137%
Physicians Health Plan $23 - $145 137%
Three Rivers Preferred Plus $23 - $124 137%
Work Comp $23 - $124 137%
Cigna $24 - $311 143%
Php Freedom $26 - $144 155%
Three Rivers Preferred $26 - $140 155%
Encore Kba Epo $27 - $149 161%
Amish Aid $28 - $156 167%
Encore Ppo $28 - $156 167%
Self Pay $28 - $171 167%
Sagamore Health Network $32 - $172 190%
Encore Kba Ppo $34 - $187 202%
Consumer Life $35 - $193 208%
First Health $46 - $249 274%
Multiplan $46 - $252 274%
Advantage Health Solutions $47 - $258 280%
Encore Health Network $47 - $255 280%
Encore $51 - $280 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals