CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adena Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $52
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 3.10x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adena Regional Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.10x the Medicare baseline. Located in 272 Hospital Road, Chillicothe, OH.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $40 (238%)
Insurance Median: $52 (310%)
Cash: $40 (238% of Medicare)
Ins. Median: $52 (310% 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 310% of the Medicare baseline (a markup of 210%). 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
Aetna $17 - $122 101%
Buckeye Community Health Plan $17 101%
Care Source $17 101%
Gateway Health $17 101%
Humana $17 - $76 101%
Medical Mutual Of Ohio $17 - $53 101%
Medigold $17 101%
Molina $17 101%
UnitedHealthcare $17 - $42 101%
Molina Marketplace $28 167%
Care Source Just4Me $30 179%
Blue Cross Blue Shield $36 - $51 214%
Sidecar Health $46 274%
Cigna $50 - $57 298%
Ohio Ppo Connect $56 333%
The Health Plan $56 333%
First Health $63 - $121 375%
Ohio Health Choice $64 381%
Healthsmart $68 405%
Integrated Health Plan $76 452%
Multiplan/Private Healthcare Systems $76 452%
Three Rivers Network $76 452%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Hospital Road, Chillicothe, OH 45601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals