CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercy Health Saint Mary's

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $25
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercy Health Saint Mary's is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.49x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $47 (280%)
Insurance Median: $25 (149%)
Cash: $47 (280% of Medicare)
Ins. Median: $25 (149% 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.

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
Aetna $2 - $48 12%
Acs Benefit Services $3 - $62 18%
Allied Benefit Systems $3 - $62 18%
Asr Health Benefits $3 - $69 18%
Caresource $3 - $71 18%
Claimchoice Adminstrators $3 - $62 18%
Consociate $3 - $62 18%
Cypress Benefit Administrators $3 - $62 18%
Forest County Potawatomi $3 - $62 18%
Hap $3 - $84 18%
Health Smart $3 - $62 18%
Healthgram $3 - $62 18%
Healthscope $3 - $62 18%
Nomi Health $3 - $60 18%
Secureone Preferred United Plans $3 - $62 18%
Sisco Benefits $3 - $62 18%
The Health Plan $3 - $62 18%
Trustmark Small Business Benefits $3 - $62 18%
Unified Group Services $3 - $62 18%
Varipro $3 - $70 18%
Wc Accident Fund $3 - $59 18%
Wc Advantage $3 - $59 18%
Wc Aig $3 - $59 18%
Wc Allied $3 - $59 18%
Wc Amerisure $3 - $59 18%
Wc Amtrust $3 - $59 18%
Wc Asu Risk Mgt $3 - $59 18%
Wc Berkley Admin $3 - $59 18%
Wc Broadspire $3 - $59 18%
Wc Bunch & Associates $3 - $59 18%
Wc Ccmsi $3 - $59 18%
Wc Emc Insurance Company $3 - $59 18%
Wc Esis $3 - $59 18%
Wc Fcci $3 - $59 18%
Wc Federated $3 - $59 18%
Wc Gallagher Bassett $3 - $59 18%
Wc Genex Care For Ohio $3 - $59 18%
Wc Guard Insurance Company $3 - $59 18%
Wc Hartford $3 - $59 18%
Wc Liberty Mutual $3 - $59 18%
Wc Meijers $3 - $59 18%
Wc Michigan $3 - $59 18%
Wc Mitchell Frankenmuth $3 - $59 18%
Wc Pma $3 - $59 18%
Wc Sedgwick $3 - $59 18%
Wc Sentry $3 - $59 18%
Wc Travelers $3 - $59 18%
Wc Tristar $3 - $59 18%
Wc Walmart $3 - $59 18%
Wc Zurich $3 - $59 18%
Webtpa $3 - $62 18%
1199 National Benefit Fund $4 - $79 24%
Acclaim $4 - $82 24%
Administrative Concepts $4 - $82 24%
Allegeant $4 - $82 24%
Allied National Global Care $4 - $79 24%
Ameriben $4 - $82 24%
American Family $4 - $82 24%
American Healthcare Alliance $4 - $82 24%
American Republic $4 - $82 24%
Amerihealth $4 - $82 24%
Asrm - Reliance Standard Life Insurance $4 - $79 24%
Aultcare $4 - $82 24%
Automated Benefit Services $4 - $82 24%
Auxiant $4 - $82 24%
Benefit Administrative Systems,Llc $4 - $82 24%
Boon Chapman $4 - $82 24%
Cam Administrative Services $4 - $82 24%
Christian Brother Services $4 - $82 24%
Christian Brothers Holy Cross $4 - $82 24%
Christian Care Ministry $4 - $79 24%
Cigna $4 - $79 24%
Comprehensive Benefits $4 - $82 24%
Continental Life Insurance $4 - $82 24%
Coventry $4 - $86 24%
Custom Benefit Administrators $4 - $82 24%
Dean Health $4 - $79 24%
Employee Benefit Concepts $4 - $82 24%
Employee Benefit Management $4 - $82 24%
Enterprise Group Planning $4 - $82 24%
Fallon Health $4 - $79 24%
Family Life Insurance Company $4 - $79 24%
First Health $4 - $86 24%
Freedom Life Insurance Company $4 - $82 24%
Geha $4 - $82 24%
Ghc Scw $4 - $79 24%
Group Administrators $4 - $82 24%
Group Marketing Services $4 - $82 24%
Group Pension Administrators $4 - $79 24%
Guardian $4 - $82 24%
Health America $4 - $82 24%
Health Choices $4 - $82 24%
Healthez $4 - $82 24%
Humana $4 - $108 24%
Insight $4 - $82 24%
Intercare $4 - $82 24%
International Benefit Administrators $4 - $79 24%
Jfp Benefit Management $4 - $82 24%
Jp Farley Corporation $4 - $82 24%
Key Benefit Administrator $4 - $82 24%
Liberty Union Life Assurance Co $4 - $82 24%
Lifetime Benefit Solutions $4 - $79 24%
Lucent Health $4 - $82 24%
Luminare Health $4 - $82 24%
Luminare Health (Detroit) $4 - $82 24%
Manhattan Life $4 - $79 24%
Medben $4 - $82 24%
Medcost $4 - $82 24%
Medi Share $4 - $79 24%
Multiplan $4 - $79 24%
Mutual Health Services $4 - $82 24%
Mutual Of Omaha $4 - $82 24%
Mvp $4 - $79 24%
Ncas $4 - $82 24%
Nippon Life Ins $4 - $82 24%
Nova $4 - $82 24%
Pai $4 - $79 24%
Painters Union Insurance Fund $4 - $82 24%
Pan-American Life $4 - $79 24%
Paramount Hmo $4 - $79 24%
Phcs $4 - $79 24%
Physicians Mutual $4 - $82 24%
Plumbers Local 98 Insurance Fund $4 - $82 24%
Prairie States $4 - $82 24%
Primary Physician Care $4 - $82 24%
Professional Benefit Administrators $4 - $82 24%
The Loomis Company $4 - $82 24%
Trinity Health Share $4 - $79 24%
U Of M Health Plan $4 - $82 24%
Unicare $4 - $82 24%
UnitedHealthcare $4 - $108 24%
Us Health And Life $4 - $82 24%
Valenz $4 - $82 24%
Western & Southern Financial Group $4 - $82 24%
Wps $4 - $82 24%
Cmh Allegan County $5 - $108 30%
Cmh Ausable Valley $5 - $108 30%
Cmh Barry County $5 - $108 30%
Cmh Berrien County $5 - $108 30%
Cmh Cass County $5 - $108 30%
Cmh Clinton-Eaton-Ingham County $5 - $108 30%
Cmh Kalamazoo $5 - $108 30%
Cmh Kent County $5 - $108 30%
Cmh Lenawee County $5 - $108 30%
Cmh Misc $5 - $108 30%
Cmh Monroe County $5 - $108 30%
Cmh Montcalm County $5 - $108 30%
Cmh Muskegon County $5 - $108 30%
Cmh Newaygo County $5 - $108 30%
Cmh North Country $5 - $108 30%
Cmh Northern Lakes County $5 - $108 30%
Cmh Ottawa County $5 - $108 30%
Cmh Van Buren County $5 - $108 30%
Cmh West Mi County $5 - $108 30%
Magellan Behavioral Health $5 - $108 30%
Blue Cross Blue Shield $9 - $22 54%
Medicaid / KanCare $9 54%
Access Health $12 71%
Blue Care Network Advantage $16 95%
Medicare (plans) $16 95%
Align Senior Care $17 101%
Correctional Recovery $17 101%
Hospice Faith $17 101%
Hospice Of Holland $17 101%
Oscar $17 101%
Longevity Ipa Of Michigan Llc Health Plan Isnp $19 113%
Bcn Domestic $22 131%
Blue Benefit Administrators Of Massachusetts $22 131%
Blue Care Network $22 131%
Blue Distinction Transplant $22 131%
Blue Shield - Ca $22 131%
Blue Shield - Id (Regence) $22 131%
Blue Shield - Ny Highmark Northeastern $22 131%
Blue Shield - Ny Highmark Western $22 131%
Blue Shield - Pa (Highmark) $22 131%
Blue Shield - Wa (Regence) $22 131%
Kaiser Domestic $22 131%
Molina Marketplace $22 131%
Medical Mutual $25 149%
Meritain $25 149%
Preferred One $25 149%
Vitalcore $26 155%
Wellpath $26 155%
Priority Health $102 - $104 607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals