CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: UPMC Wellsboro

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $252
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 15.00x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at UPMC Wellsboro is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 15.00x the Medicare baseline. Located in 32-36 Central Avenue, Wellsboro, PA.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $274 (1631%)
Insurance Median: $252 (1500%)
Cash: $274 (1631% of Medicare)
Ins. Median: $252 (1500% 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 1500% of the Medicare baseline (a markup of 1400%). 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 Work Partners $17 101%
Amerihealth Caritas $23 137%
Geisinger $26 - $501 155%
Highmark Wholecare (Prev Gateway) $26 - $150 155%
Upmc Health Plan $26 - $326 155%
UnitedHealthcare $30 - $636 179%
Health Partners Plans (Jefferson Health Plan) $35 208%
Pa Health & Wellness $40 - $162 238%
Aetna $50 - $646 298%
Blue Cross Blue Shield $55 - $378 327%
Cigna $58 - $157 345%
Wirerope Works $154 - $416 917%
Multiplan $216 - $711 1286%
America'S Choice $249 - $673 1482%
Intergroup $249 - $673 1482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 32-36 Central Avenue, Wellsboro, PA 16901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals