CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Ohio Valley Surgical Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $11,885
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 707.44x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Ohio Valley Surgical Hospital is $11,885. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 707.44x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,885

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: $134 (798%)
Insurance Median: $11,885 (70744%)
Cash: $134 (798% of Medicare)
Ins. Median: $11,885 (70744% 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 70744% of the Medicare baseline (a markup of 70644%). 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
Blue Cross Blue Shield $2 - $40,293 12%
UnitedHealthcare $20 - $17,571 119%
Aetna $24 - $20,896 143%
Geha $24 - $20,896 143%
Genworth $24 - $20,896 143%
Mail Handlers $24 - $20,896 143%
Meritain $24 - $20,896 143%
Meritain Heatlh $24 - $20,896 143%
Mhbp $24 - $20,896 143%
Ngs Coresource $24 - $20,896 143%
Nippon Life $24 - $20,896 143%
Pacific Source $24 - $20,896 143%
Personify Health $24 - $20,896 143%
Mmoh $101 - $11,885 601%
Mmo Cin. Hmo $103 - $141 613%
Mmoh (Supermed) $103 - $104 613%
Medicare (plans) $134 - $12,264 798%
Luminare Health $202 1202%
Medben $202 1202%
Ohio Health $202 1202%
Preferred Health $202 1202%
Medicaid / KanCare $3,557 - $17,827 21173%
Amerihealth Caritas Of Ohio $3,657 21768%
Buckeye Community Health Plan $4,022 23940%
Molina Mcd $4,084 24310%
Caresource $4,364 - $17,827 25976%
Humana $4,493 - $11,919 26744%
Aarp $11,885 70744%
Aarp Supplemental $11,885 70744%
American Continental Insurance $11,885 70744%
American Continental Life $11,885 70744%
American Republic $11,885 70744%
American Retirement $11,885 70744%
Aultcare Primetime Health Plan $11,885 70744%
Bankers Fidelity $11,885 70744%
Bankers Life And Casualty $11,885 70744%
Central States $11,885 70744%
Champus $11,885 70744%
Cigna $11,885 - $18,817 70744%
Communicare Advantage $11,885 70744%
Everest $11,885 70744%
Gateway Health Plan $11,885 70744%
Medigold $11,885 70744%
Molina $11,885 70744%
Molina Dual Mcr $11,885 70744%
Molina Marketplace $11,885 70744%
Molina Dual Mcr $11,885 70744%
Molina Mcr $11,885 70744%
Molina Mcr Mcd $11,885 70744%
Molina Mcr+Mcd $11,885 70744%
Patient No Pay $11,885 70744%
Prosperity Supplement $11,885 70744%
Self Pay Imaging $11,885 70744%
Wellcare By Allwell $11,885 70744%
Wraparound Pl Supp $11,885 70744%
The Health Plan $12,479 74280%
Devoted Health $13,707 81589%
Employer Direct $15,703 93470%
Golden Rule $17,571 104589%
Medica $17,571 104589%
Oxford $17,571 104589%
Shl $17,571 104589%
Surest $17,571 104589%
Ushealth $17,571 104589%
Caresourse $17,827 106113%
Healthgram $18,817 112006%
Nalc $18,817 112006%
Samba $18,817 112006%
Sbma $18,817 112006%
Unified Group $18,817 112006%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals