CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Fairfield Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $25
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Fairfield Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.49x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.
Cash / Self-Pay
$34

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: $34 (202%)
Insurance Median: $25 (149%)
Cash: $34 (202% 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
Humana $14 - $71 83%
Aetna $16 - $49 95%
Blue Cross Blue Shield $16 - $26,250 95%
Buckeye Community Health $16 - $26 95%
Medical Mutual $16 - $33,500 95%
Medicare (plans) $16 95%
UnitedHealthcare $16 - $20 95%
Allied Benefit Systems $17 - $52 101%
Caresource $17 - $22 101%
Medigold $17 101%
Meritain Health $17 - $52 101%
Molina $17 - $28 101%
Oscar $17 101%
The Health Plan $17 - $52 101%
Va Ccn $17 101%
Valor Health Plan $17 101%
Medicaid / KanCare $20 119%
Amerihealth Caritas Ohio $21 125%
Bwc $23 137%
Quality Care Partners/Ohio Ppo Connect $54 321%
The Ohio State Health Plan $58 345%
Cigna $62 369%
Ohio Healthy $70 417%
Multiplan $71 423%
Miscellaneous Plans $75 446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 North Ewing Street, Lancaster, OH 43130
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals