CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Licking Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $233
  • Cash Discount Price: $323
  • vs. Medicare Baseline: 13.87x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Licking Memorial Hospital is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 13.87x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$323

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

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: $323 (1923%)
Insurance Median: $233 (1387%)
Cash: $323 (1923% of Medicare)
Ins. Median: $233 (1387% 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 1387% of the Medicare baseline (a markup of 1287%). 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
Tricare $16 95%
Aetna $17 - $235 101%
Blue Cross Blue Shield $17 - $278 101%
Champva [500001] $17 101%
Cigna $17 - $291 101%
Humana $17 - $314 101%
Medicare (plans) $17 101%
UnitedHealthcare $17 - $275 101%
Veterans Administration [100068] $17 101%
Wellcare By Allwell [450104] $17 101%
Molina Marketplace [100106] $27 161%
Medical Mutual [100114] $178 - $268 1060%
Medben [700068] $226 - $317 1345%
Allied Benefit Systems [100015] $233 1387%
Geha [100039] $233 1387%
Gravie Administrative Services [100165] $233 1387%
Meritain [100063] $233 1387%
Optima [700069] $233 1387%
Trustmark Small Business Benefits [100263] $233 1387%
Webtpa [100127] $233 1387%
Benicomp [70090] $242 1440%
Consociate Health 6 Degrees [100059] $259 1542%
Consociate Health [100029] $259 1542%
Healthscope [100157] $275 1637%
Surest [100016] $275 1637%
United Medical Resources [700071] $275 1637%
American Postal Workers [100089] $291 1732%
Antidote Health Plan Of Ohio [70006803] $291 1732%
Coresource [100002] $291 - $323 1732%
Great West Life [700064] $291 1732%
National Association Of Letter Carriers [100067] $291 1732%
Ohio Healthy Luminare Health [100264] $291 1732%
Ohio Healthy [100255] $291 1732%
Ohio Ppo Connect [70006801] $291 1732%
Osu Prime Care [100254] $291 1732%
Quality Care Partners [70006802] $291 1732%
The Health Plan [100261] $291 1732%
Wellfleet Group, Llc [100164] $291 1732%
Coventry [100010] $298 1774%
Pan American Life [700070] $298 1774%
Ohio Health Choice [100109] $310 1845%
Administrative Concepts [100006] $314 1869%
Carefactor [100087] $314 1869%
Philadelphia American Life [100260] $314 - $323 1869%
Reliance Standard-Asrm [100258] $314 1869%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals