CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $152
  • Cash Discount Price: $152
  • vs. Medicare Baseline: 9.05x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercy Health Rehabilitation Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 9.05x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.
Cash / Self-Pay
$152

Average discount available for prompt cash payment at this facility.

Insurance Median
$152

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: $152 (905%)
Insurance Median: $152 (905%)
Cash: $152 (905% of Medicare)
Ins. Median: $152 (905% 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 905% of the Medicare baseline (a markup of 805%). 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
Medical Mutual Nas $30 - $123 179%
Aultcare $37 - $152 220%
Multiplan $46 - $188 274%
Aetna $54 - $224 321%
Ambetter / Centene $54 - $224 321%
Blue Cross Blue Shield $54 - $224 321%
Caresource Exchange $54 - $224 321%
Cigna $54 - $224 321%
Devoted $54 - $224 321%
Highmark Ppo Commercial $54 - $224 321%
Highmark Ppo Exchange $54 - $224 321%
Humana $54 - $224 321%
Medicaid / KanCare $54 - $224 321%
Medical Mutual Exchange $54 - $224 321%
Medical Mutual Medflex $54 - $224 321%
Medical Mutual New Biz $54 - $224 321%
Medical Mutual Supermed Commercial $54 - $224 321%
Medical Mutual Traditional Commercial $54 - $224 321%
Medicare (plans) $54 - $224 321%
Molina Exchange $54 - $224 321%
UnitedHealthcare $54 - $224 321%
Upmc $54 - $224 321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3180 Belmont Ave, Youngstown, OH 44505
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL