CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $224
Cash Discount Price: $115
vs. Medicare Baseline: 13.33x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Crystal Clinic Orthopaedic Center is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 13.33x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$115

Average discount available for prompt cash payment at this facility.

Insurance Median

$224

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: $115 (685%)

Insurance Median: $224 (1333%)

Cash: $115 (685% of Medicare)

Ins. Median: $224 (1333% 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 1333% of the Medicare baseline (a markup of 1233%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bc Mcr Adv	$17	101%
Summacare Mcr Adv	$17	101%
UnitedHealthcare	$17 - $322	101%
The Health Plan - All Plans	$34	202%
Aultcare - All Plans	$49	292%
Health Oh Network - All Plans	$92	548%
Ohio Health Choice - All Plans	$92	548%
Med Mutual Nas	$95	565%
Multiplan - All Plans	$101	601%
Healthsmart - All Plans	$130	774%
Bc Pathway	$191	1137%
Cigna	$257	1530%
Bc Ohi/Ohii	$263	1565%
Summacare Comm - All Other Plans	$283	1685%
Med Mutual Medflex	$286	1702%
Bc Blue Access	$292	1738%
Bc Preferred	$292	1738%
Bc Trad - All Other Plans	$292	1738%
Med Mutual Aca	$326	1940%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$358	2131%
Aetna	$363	2161%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $115.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crystal Clinic Orthopaedic Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.