CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Cleveland Clinic

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $63
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 3.75x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Cleveland Clinic is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.75x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $71 (423%)
Insurance Median: $63 (375%)
Cash: $71 (423% of Medicare)
Ins. Median: $63 (375% 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 375% of the Medicare baseline (a markup of 275%). 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
Cigna $9 - $143 54%
Summacare $14 - $125 83%
Aetna $17 - $179 101%
Cc Ehp $17 - $68 101%
Devoted Health $17 101%
Humana $17 - $93 101%
Mmo $17 - $125 101%
The Health Plan $17 - $98 101%
United $17 - $25 101%
UnitedHealthcare $17 - $115 101%
Upmc $17 - $107 101%
Valor $17 101%
Communicare $18 107%
Perennial Health $18 107%
Blue Cross Blue Shield $22 - $93 131%
Caresource $23 137%
Buckeye $24 143%
Molina $24 143%
Paramount $24 143%
United Bh $25 149%
Oscar $33 - $48 196%
Zing Health $33 - $54 196%
Amish Community Aid Plan $49 - $81 292%
Aultcare $53 - $77 315%
Ohcp $53 - $70 315%
Omas $54 - $90 321%
Ohio Healthy $59 - $76 351%
Healthsmart $60 - $98 357%
Php $65 387%
Phphi $65 - $107 387%
Clarity Health $71 - $116 423%
Gms $76 - $125 452%
Medical Benefit Corp $76 452%
Parkview Health Plan $76 452%
Quality Care Partners $76 - $125 452%
Consociate Health $82 - $134 488%
Community Health Alliance $87 518%
Frontpath $98 583%
Managed Care Services $98 583%
Multiplan $98 - $161 583%
Tertiary Care Network $98 583%
Three Rivers $98 - $161 583%
Usa Managed Care $161 958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals