CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $50
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 2.98x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Independence Health System Butler Memorial Hospita is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.98x the Medicare baseline. Located in One Hospital Way, Butler, PA.
Cash / Self-Pay
$97

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: $97 (577%)
Insurance Median: $50 (298%)
Cash: $97 (577% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Highmark $16 - $35 95%
Martin'S Point - Usfhp $16 - $56 95%
Tricare $16 95%
Aetna $17 - $128 101%
Gateway $17 - $168 101%
Geisinger $17 - $160 101%
Humana $17 101%
Jefferson Health Plan $17 101%
Life Butler County $17 101%
Medicare (plans) $17 101%
Peak Health $17 - $112 101%
Provider Partners $17 101%
UnitedHealthcare $17 - $23 101%
Upmc $17 - $168 101%
American Health Plan $18 107%
Amerihealth $18 - $26 107%
Devoted Health Plan $18 - $64 107%
Pa Health & Wellness $18 107%
Pnoa $18 - $128 107%
The Health Plan $18 - $39 107%
Highmark - Ind.& Managed Care $22 - $39 131%
Highmark Aca - Direct Blue $22 - $30 131%
Highmark Community Blue $22 - $35 131%
Medicaid / KanCare $23 137%
Cigna $25 - $80 149%
Ellwood Group $34 - $69 202%
Ccbh - Behavioral Health $58 - $80 345%
Workers Comp $69 411%
Private Healthcare Systems $81 - $136 482%
Devon $87 - $120 518%
Intergroup $93 - $128 554%
Multiplan $104 - $144 619%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Way, Butler, PA 16001
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals