CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Sullivan County Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $53
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Sullivan County Community Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.15x the Medicare baseline. Located in 2200 N Section St, Sullivan, IN.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $130 (774%)
Insurance Median: $53 (315%)
Cash: $130 (774% of Medicare)
Ins. Median: $53 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Humana $17 - $147 101%
Mdwise Mcaid - All Other Plans $17 101%
Mhs Hlthy In Mcaid $17 101%
Mhs Mcaid - All Other Plans $17 101%
Va Ccn - All Plans $29 173%
Ambetter / Centene $52 310%
Blue Cross Blue Shield $52 - $92 310%
Mdwise Mcr Adv $52 310%
Siho - All Plans $130 774%
UnitedHealthcare $147 875%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2200 N Section St, Sullivan, IN 47882
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals