CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Galion Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $188
  • Cash Discount Price: $208
  • vs. Medicare Baseline: 11.19x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Galion Community Hospital is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 11.19x the Medicare baseline. Located in 269 Portland Way South, Galion, OH.
Cash / Self-Pay
$208

Average discount available for prompt cash payment at this facility.

Insurance Median
$188

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: $208 (1238%)
Insurance Median: $188 (1119%)
Cash: $208 (1238% of Medicare)
Ins. Median: $188 (1119% 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 1119% of the Medicare baseline (a markup of 1019%). 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
Caresource $37 220%
Medicaid / KanCare $37 220%
Ohiorise $37 220%
Blue Cross Blue Shield $38 - $4,142 226%
Molina $38 - $5,629 226%
Amerihealth $39 232%
United_Healthcare $39 - $4,142 232%
Buckeye $40 - $4,142 238%
Humana $40 - $4,142 238%
Medicare (plans) $83 - $4,142 494%
Mount_Carmel $83 - $4,142 494%
Aetna $85 - $4,224 506%
Medical_Mutual $196 - $4,224 1167%
Cigna $216 1286%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 Portland Way South, Galion, OH 44833
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals