CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $50
  • Cash Discount Price: $203
  • vs. Medicare Baseline: 2.98x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Nationwide Children's Hospital Toledo, LLC is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.98x the Medicare baseline. Located in 2213 Cherry Street, Toledo, OH.
Cash / Self-Pay
$203

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $203 (1208%)
Insurance Median: $50 (298%)
Cash: $203 (1208% of Medicare)
Ins. Median: $50 (298% 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 298% of the Medicare baseline (a markup of 198%). 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 $17 - $18 101%
Mcclaren Health Plan - Michigan $17 101%
Molina $17 - $25 101%
Amerihealth $25 149%
Bchp $25 149%
Blue Cross Blue Shield $25 - $173 149%
Humana $25 149%
UnitedHealthcare $25 - $171 149%
Cigna $27 161%
Front Path Health Coalition $50 - $153 298%
Mmo $85 - $119 506%
Aetna $131 780%
Mcclaren Health Plan $153 911%
Ohc $170 1012%
Ohio Ppo Connect $170 1012%
First Health $261 1554%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2213 Cherry Street, Toledo, OH 43608
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens