CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Akron Children's Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $85
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 5.06x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Akron Children's Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.06x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $75 (446%)
Insurance Median: $85 (506%)
Cash: $75 (446% of Medicare)
Ins. Median: $85 (506% 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 506% of the Medicare baseline (a markup of 406%). 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 $30 179%
Aetna $31 - $86 185%
Amerihealth Caritas Ohio $31 185%
Blue Cross Blue Shield $31 - $99 185%
Buckeye Community Health Plan $31 185%
Cenpatico $31 185%
Humana $31 - $93 185%
Molina $31 185%
UnitedHealthcare $31 - $86 185%
Healthplan (Hometown) $34 202%
Summacare $34 - $82 202%
Northern Ohio Handicapped Fund (Nohf $36 214%
Ohio Crippled Childrens Fund (Occf $36 214%
Amish Church Fund $50 298%
Mmo $57 - $145 339%
Medben $75 - $76 446%
Summa Health Employee $77 - $78 458%
Autlcare $78 - $79 464%
Summacare Preferred Choice Network $78 - $79 464%
The Health Plan (Mountaineer Region) $80 476%
Avita-Osu Health Plan $81 - $82 482%
The Health Plan (Fna Hometown Health Network) $83 - $84 494%
Cigna $84 - $86 500%
Embs/Thomas Steel $87 - $88 518%
Healthsmart (Fna Emerald Health Network) $87 - $88 518%
Ohio Health Choice $87 - $88 518%
Phcs/Multiplan $87 - $88 518%
Enterprise Group Planning $89 - $90 530%
Prime Health Services $89 - $90 530%
Primenet $89 - $90 530%
Quality Care Partners $89 - $90 530%
Beechstreet $92 - $93 548%
Ohio Preferred Network $92 - $93 548%
Paramount $92 - $93 548%
Cofinity $93 - $94 554%
Health Reach Ohio Health Group $93 - $94 554%
Direct Care America $94 - $95 560%
First Health Network $94 - $95 560%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens