CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Fostoria Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $76
Cash Discount Price: $96
vs. Medicare Baseline: 4.52x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Fostoria Community Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.52x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $96 (571%)

Insurance Median: $76 (452%)

Cash: $96 (571% of Medicare)

Ins. Median: $76 (452% 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 452% of the Medicare baseline (a markup of 352%). 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
Meridian Health Plan Of Mi	$9	54%
Blue Cross Blue Shield	$16 - $95	95%
Health Alliance Plan	$16 - $110	95%
Health Value Management	$16 - $32	95%
Paramount Health Care	$16 - $78	95%
Buckeye Community Health Plan	$17 - $33	101%
Aetna	$19 - $98	113%
Buckeye Community Health Plan Inc	$19 - $53	113%
Dayton Area Health Plan Dba Caresource	$24 - $61	143%
UnitedHealthcare	$24 - $88	143%
Veterans Affairs	$32	190%
Amerihealth	$34	202%
Medical Mutual Of Ohio	$83 - $88	494%
Frontpath Health Coalition	$85	506%
Ohio Health Choice	$96	571%
Ohio Ppo Connect	$96 - $110	571%
Health Ohio Network	$116	690%
Connecticut General Life Insurance Company	$117	696%

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 $96.
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 Fostoria Community 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.