CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Cleveland Clinic Avon Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $33
Cash Discount Price: $71
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Cleveland Clinic Avon Hospital is $33. 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 1.96x the Medicare baseline. Located in 33300 Cleveland Clinic Blvd, Avon, OH.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $33 (196%)

Cash: $71 (423% of Medicare)

Ins. Median: $33 (196% 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.

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
Aetna	$17 - $109	101%
Cigna	$17 - $20	101%
Devoted Health	$17	101%
Humana	$17	101%
Mmo	$17 - $22	101%
Summacare	$17 - $44	101%
The Health Plan	$17 - $65	101%
United	$17 - $25	101%
UnitedHealthcare	$17 - $68	101%
Upmc	$17 - $65	101%
Valor	$17	101%
Communicare	$18	107%
Perennial Health	$18	107%
Blue Cross Blue Shield	$19 - $71	113%
Buckeye	$19	113%
Caresource	$19	113%
Cc Ehp	$19 - $43	113%
Molina	$19	113%
Oscar	$33 - $42	196%
Zing Health	$33	196%
Aultcare	$47	280%
Amish Community Aid Plan	$49 - $54	292%
Ohcp	$53	315%
Omas	$54	321%
Ohio Healthy	$59	351%
Php	$65	387%
Gms	$76	452%
Medical Benefit Corp	$76	452%
Consociate Health	$82	488%
Frontpath	$98	583%
Managed Care Services	$98	583%
Multiplan	$98	583%
Tertiary Care Network	$98	583%

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 $71.
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 Cleveland Clinic Avon Hospital 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.