CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $79
  • Cash Discount Price: $118
  • vs. Medicare Baseline: 4.70x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Magee Womens Hospital of UPMC Health System is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.70x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.
Cash / Self-Pay
$118

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $118 (702%)
Insurance Median: $79 (470%)
Cash: $118 (702% of Medicare)
Ins. Median: $79 (470% 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 470% of the Medicare baseline (a markup of 370%). 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
Upmc Health Plan $16 - $101 95%
Upmc Work Partners $17 101%
Aetna $18 - $104 107%
Amerihealth Caritas $18 - $37 107%
Highmark Wholecare (Prev Gateway) $18 - $34 107%
UnitedHealthcare $18 - $26 107%
Blue Cross Blue Shield $33 - $147 196%
Geisinger $36 214%
Pa Health & Wellness $40 238%
Cigna $79 - $104 470%
Intergroup $98 583%
Coventry/First Health $138 821%
Preferred Healthcare System $158 940%
Humana $167 994%
Private Health Care Systems $167 994%
Multiplan $181 1077%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Halket Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals