CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Montrose Regional Health

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $59
Cash Discount Price: $71
vs. Medicare Baseline: 3.51x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Montrose Regional Health is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.51x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $71 (423%)

Insurance Median: $59 (351%)

Cash: $71 (423% of Medicare)

Ins. Median: $59 (351% 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 351% of the Medicare baseline (a markup of 251%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United Rocky Mountain Mcaid	$10	60%
Blue Cross Blue Shield	$17 - $119	101%
Humana	$17 - $121	101%
Medicare (plans)	$17	101%
United Rocky Mountain Chp-All Other Plans	$27 - $55	161%
Montrose Community Healthplan-All Plans	$53 - $108	315%
Western Healthcare Alliance-All Plans	$56 - $114	333%
United Rocky Mountain Private Plan	$57 - $117	339%
Cigna	$59 - $121	351%
Multiplan-All Plans	$59 - $121	351%
Sloans Lake Managed Care-All Plans	$59 - $121	351%
Three Rivers-All Plans	$59 - $121	351%
Uchpa - All Plans	$59 - $121	351%
United Rocky Mountain Self Insured	$59 - $121	351%
UnitedHealthcare	$59 - $121	351%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $71.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Montrose Regional Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.