CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Clarion Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $33
Cash Discount Price: $65
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Clarion Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.96x the Medicare baseline. Located in One Hospital Drive, Clarion, PA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $65 (387%)

Insurance Median: $33 (196%)

Cash: $65 (387% of Medicare)

Ins. Median: $33 (196% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Martin'S Point - Usfhp	$16 - $41	95%
Tricare	$16	95%
Aetna	$17 - $103	101%
Amerihealth	$17 - $26	101%
Cigna	$17 - $58	101%
Highmark	$17 - $39	101%
Highmark Community Blue	$17	101%
Medicare (plans)	$17	101%
UnitedHealthcare	$17	101%
American Health Plan	$18	107%
Devoted Health Plan	$18 - $46	107%
Gateway	$18 - $43	107%
Geisinger	$18	107%
Jefferson Health Plan	$18	107%
Pa Health & Wellness	$18	107%
The Health Plan	$18 - $39	107%
Upmc	$18 - $80	107%
Medicaid / KanCare	$23	137%
Highmark - Ind.& Managed Care	$38 - $39	226%
Peak Health	$39 - $81	232%
Devon	$87	518%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $65.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clarion Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.