CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Pennsylvania Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $43
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 2.56x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Pennsylvania Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.56x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $259 (1542%)
Insurance Median: $43 (256%)
Cash: $259 (1542% of Medicare)
Ins. Median: $43 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
UnitedHealthcare $6 - $468 36%
Horizon Nj Health $8 - $82 48%
Cigna $10 - $159 60%
Pgm - Regie De L'Assurance Maladie Quebec $12 - $108 71%
Preferred Health Care Eliance $13 - $122 77%
Blue Cross Blue Shield $17 - $468 101%
Geisinger Health Plan $17 - $53 101%
Health Partners $17 - $468 101%
Humana $17 - $374 101%
Ibc $17 101%
Medicare (plans) $17 101%
Philadelphia Va Medical Center $17 101%
Upmc $17 - $468 101%
Aetna $18 - $468 107%
Clover Health Plan $18 107%
Pa Health And Wellness $18 - $28 107%
Penn Life (Living Independently For Elders) $18 107%
Pgm - Kuwait Defense $18 - $211 107%
Tricare $18 107%
Us Family Health Plan $18 107%
Devon $19 - $211 113%
Keystone First $19 113%
Qualcare $19 - $178 113%
Coventry $20 - $239 119%
Pgm - Chop $20 - $187 119%
Wissahickon Hospice $20 - $187 119%
Gateway Health Plan $21 - $23 125%
Healthamerica/Coventry $22 - $229 131%
Medicaid / KanCare $23 - $468 137%
Pa Medical Assistance $23 137%
Elap $24 143%
Olympus $24 - $227 143%
First Health Global $25 - $234 149%
Urn-Cancer Resource Services $25 - $234 149%
Claims Watcher $27 - $30 161%
Oscar Health Plan $29 173%
Centivo $30 179%
Health Net $30 - $281 179%
Ibc Commercial Hpn $30 179%
Keystone Hmo Proactive $30 179%
Keystone Mercy Health Plan $30 179%
Pgm - Royal Embassy Of Saudi Arabia $30 - $281 179%
Elap Services $31 185%
Pgm - Embassy Of Qatar $32 - $304 190%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $32 - $304 190%
Highmark $35 208%
Pgm - Embassy Of The United Emirates/Ipc $35 - $328 208%
Devon Health Services Inc $40 - $374 238%
Health America/Ccn $40 - $374 238%
Intergroup $40 - $374 238%
Pgm - Kuwait Health Division $40 - $374 238%
Pgm - Kuwait Oil $40 - $374 238%
Preferred Care $40 - $374 238%
Penn Global Medicine $45 268%
Commercial Other $50 - $468 298%
Community Behavioral Health $50 - $468 298%
International Pfs $50 - $468 298%
Quest Behavioral Health $50 - $468 298%
United Behavioral Health $50 - $468 298%
Workers Compensation $50 - $468 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals