CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: UPMC Hanover

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $34
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at UPMC Hanover is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.02x the Medicare baseline. Located in 300 Highland Ave, Hanover, PA.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $86 (512%)
Insurance Median: $34 (202%)
Cash: $86 (512% of Medicare)
Ins. Median: $34 (202% 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 202% of the Medicare baseline (a markup of 102%). 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
Aetna $17 - $18 101%
Blue Cross Blue Shield $17 - $97 101%
Humana $17 101%
Upmc Work Partners $17 101%
Cigna $18 - $44 107%
Geisinger $18 - $103 107%
Pa Health & Wellness $18 - $40 107%
UnitedHealthcare $18 - $30 107%
Amerihealth Caritas $23 137%
Keystone Autism Services $27 161%
Keystone Health Plan $27 - $97 161%
Highmark Wholecare (Prev Gateway) $29 173%
Upmc Health Plan $30 - $101 179%
Health Partners Plans (Jefferson Health Plan) $32 190%
Prime Net $35 - $45 208%
Carefirst $122 726%
Multiplan $122 726%
Wellspan Population Health $124 738%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Highland Ave, Hanover, PA 17331
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals