CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Excela Health - Frick Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $19
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Excela Health - Frick Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.13x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $39 (232%)
Insurance Median: $19 (113%)
Cash: $39 (232% of Medicare)
Ins. Median: $19 (113% 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.

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
Highmark Advantage Community Blue $16 95%
Aetna $17 - $39 101%
Health Partners Plan $17 101%
Humana $17 101%
Martin'S Point $17 101%
Peak Health $17 - $39 101%
The Health Plan Of West Virginia $17 - $39 101%
United $17 101%
Va $17 101%
American Health Plan Of Pa $18 107%
Amerihealth Caritas $18 - $30 107%
Cigna $18 - $25 107%
Devoted $18 107%
Geisinger $18 - $28 107%
Highmark Wholecare $18 - $29 107%
Pa Health And Wellness $18 - $30 107%
Provider Network Of America $18 - $52 107%
Provider Plan Partners Plan $18 107%
Upmc $18 - $29 107%
Upmc For Kids Chip $18 107%
Upmc Health Plan $19 - $80 113%
Highmark Children'S Health Insurance Program $20 119%
UnitedHealthcare $20 119%
Ambetter / Centene $21 125%
Highmark $23 - $37 137%
Velocity $25 149%
Health Partners Plans $28 167%
Community Blue $33 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals