CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Mount Carmel St Ann's
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $48
- Cash Discount Price: $67
- vs. Medicare Baseline: 2.86x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mount Carmel St Ann's is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.86x the Medicare baseline. Located in 500 South Cleveland Avenue, Westerville, OH.
Cash / Self-Pay
$67
Average discount available for prompt cash payment at this facility.
Insurance Median
$48
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: $67 (399%)
Insurance Median: $48 (286%)
Cash: $67 (399% of Medicare)
Ins. Median: $48 (286% 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 286% of the Medicare baseline (a markup of 186%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Medicare (plans) | $15 - $18 | 89% |
| Aetna | $16 - $103 | 95% |
| Blue Cross Blue Shield | $16 - $103 | 95% |
| Rural Carrier Health Benefit Plan | $16 | 95% |
| Blue Benefit Administrators Of Massachusetts | $17 | 101% |
| Blue Care Network | $17 | 101% |
| Blue Distinction Transplant | $17 | 101% |
| Blue Shield - Ca | $17 | 101% |
| Blue Shield - Id (Regence) | $17 | 101% |
| Blue Shield - Ny Highmark Northeastern | $17 | 101% |
| Blue Shield - Ny Highmark Western | $17 | 101% |
| Blue Shield - Pa (Highmark) | $17 | 101% |
| Blue Shield - Wa (Regence) | $17 | 101% |
| Hospice Mount Carmel | $17 | 101% |
| Oscar | $17 | 101% |
| The Health Plan | $17 - $68 | 101% |
| UnitedHealthcare | $17 - $69 | 101% |
| Medical Mutual | $31 - $82 | 185% |
| Enterprise Group Planning | $32 | 190% |
| Custom Design Benefits | $35 | 208% |
| Quality Care Partners | $38 | 226% |
| Western & Southern Financial Group | $44 | 262% |
| Geha | $46 - $69 | 274% |
| Gravie Admin Services | $46 | 274% |
| Healthez | $46 | 274% |
| Meritain | $46 | 274% |
| Webtpa | $46 | 274% |
| Access Health | $48 | 286% |
| Acclaim | $48 | 286% |
| Administrative Concepts | $48 | 286% |
| Allegeant | $48 | 286% |
| Allied Benefit Systems | $48 | 286% |
| American Family | $48 | 286% |
| American Healthcare Alliance | $48 | 286% |
| American National | $48 | 286% |
| American Republic | $48 | 286% |
| Amerihealth | $48 | 286% |
| Aultcare | $48 | 286% |
| Automated Benefit Services | $48 | 286% |
| Auxiant | $48 | 286% |
| Benefit Administrative Systems,Llc | $48 | 286% |
| Boon Chapman | $48 | 286% |
| Cam Administrative Services | $48 | 286% |
| Christian Brother Services | $48 | 286% |
| Christian Brothers Holy Cross | $48 | 286% |
| Claimchoice Adminstrators | $48 | 286% |
| Comprehensive Benefits | $48 | 286% |
| Continental Life Insurance | $48 | 286% |
| Coventry | $48 | 286% |
| Custom Benefit Administrators | $48 | 286% |
| Cypress Benefit Administrators | $48 | 286% |
| Employee Benefit Concepts | $48 | 286% |
| Employee Benefit Management | $48 | 286% |
| Forest County Potawatomi | $48 | 286% |
| Freedom Life Insurance Company | $48 | 286% |
| Group Administrators | $48 | 286% |
| Group Marketing Services | $48 | 286% |
| Group Pension Administrators | $48 | 286% |
| Guardian | $48 | 286% |
| Health America | $48 | 286% |
| Health Choices | $48 | 286% |
| Healthcare Management Admin | $48 | 286% |
| Insight | $48 | 286% |
| Intercare | $48 | 286% |
| Jfp Benefit Management | $48 | 286% |
| Jp Farley Corporation | $48 | 286% |
| Key Benefit Administrator | $48 | 286% |
| Liberty Union Life Assurance Co | $48 | 286% |
| Lucent Health | $48 | 286% |
| Luminare Health | $48 | 286% |
| Magnacare | $48 | 286% |
| Medcost | $48 | 286% |
| Mutual Health Services | $48 | 286% |
| Mutual Of Omaha | $48 | 286% |
| Ncas | $48 | 286% |
| Nippon Life Ins | $48 | 286% |
| Nova | $48 | 286% |
| Painters Union Insurance Fund | $48 | 286% |
| Physicians Mutual | $48 | 286% |
| Plumbers Local 98 Insurance Fund | $48 | 286% |
| Prairie States | $48 | 286% |
| Preferred One | $48 | 286% |
| Primary Physician Care | $48 | 286% |
| Professional Benefit Administrators | $48 | 286% |
| Secureone Preferred United Plans | $48 | 286% |
| Siho Insurance Services | $48 | 286% |
| Sisco Benefits | $48 | 286% |
| The Loomis Company | $48 | 286% |
| Trustmark Small Business Benefits | $48 | 286% |
| U Of M Health Plan | $48 | 286% |
| Unicare | $48 | 286% |
| Unified Group Services | $48 | 286% |
| Us Health And Life | $48 | 286% |
| Valenz | $48 | 286% |
| Varipro | $48 | 286% |
| Wps | $48 | 286% |
| Humana | $53 - $103 | 315% |
| First Health | $54 | 321% |
| Paramount Hmo | $54 | 321% |
| Medben | $62 - $77 | 369% |
| Consociate | $63 | 375% |
| Health Ohio Network | $63 | 375% |
| American Postal Workers Secondary | $69 | 411% |
| Cigna | $69 | 411% |
| Health Partners | $69 | 411% |
| Healthgram | $69 | 411% |
| Mvp | $69 | 411% |
| Priority Health | $69 | 411% |
| Caresource | $75 | 446% |
| Healthlink Inc | $77 | 458% |
| Medical Benefits Mutual | $77 | 458% |
| Ohio Health Choice | $77 | 458% |
| Ohio Ppo Connect | $77 | 458% |
| Ameriben | $82 | 488% |
| Luminare Health (Detroit) | $82 | 488% |
| Medi Share | $82 | 488% |
| Multiplan | $82 | 488% |
| Ohiohealthy | $82 | 488% |
| Osu Not Independent Choice | $82 | 488% |
| Phcs | $82 | 488% |
| Philadelphia American Life Insurance | $82 | 488% |
| Twin Valley Psychiatric | $82 | 488% |
| Health Smart | $88 | 524% |
| Bccp | $103 | 613% |
| Medicaid / KanCare | $103 | 613% |
| Optima Health | $103 | 613% |
| Crime Victim Assistance | $632 | 3762% |
| Ohio Safe Program | $632 | 3762% |