CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $150
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 8.93x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Rainbow Babies and Childrens Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.93x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$150

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: $178 (1060%)
Insurance Median: $150 (893%)
Cash: $178 (1060% of Medicare)
Ins. Median: $150 (893% 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 893% of the Medicare baseline (a markup of 793%). 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 $8 - $154 48%
Aetna $17 - $188 101%
Cigna $17 - $153 101%
Devoted Health $17 101%
Humana $17 101%
Medical Mutual Of Ohio $17 - $188 101%
Molina $17 101%
Paramount $17 101%
Primetime Health Plan $17 101%
Summacare $17 - $173 101%
The Health Plan $17 - $166 101%
UnitedHealthcare $17 - $166 101%
Wellcare By Allwell $17 101%
Perennial Advantage Of Ohio $18 107%
Valor Health Plans $18 107%
University Health Employee Plan (Contigo) $23 - $118 137%
Amish Aid Community Plan $118 702%
Amish Church Fund And Workers Aid Plan $118 702%
Buckeye Plain Ministries $118 702%
Christian Healthcare Ministries $118 702%
Sunrise Plain Communities $118 702%
Caresource $128 762%
Ambetter / Centene $133 792%
Jp Farley $133 - $142 792%
Immergrun $142 845%
Aultcare $149 - $156 887%
Healthsmart $154 917%
Ohio Health Choice $154 - $213 917%
Health Ohio Network $159 946%
Clarity $166 988%
Enterprise Group Planning $166 988%
Medical Mutual Traditional/Health Ohio $166 988%
Beech Street $190 - $213 1131%
Ohio Preferred Network $190 - $213 1131%
Century Health Network $201 1196%
First Health $201 1196%
Private Healthcare System $204 1214%
Configurenet $213 1268%
Fortified Provider Network $213 1268%
Multiplan $213 1268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens