CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mercy Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $94
Cash Discount Price: $103
vs. Medicare Baseline: 5.60x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercy Regional Medical Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.60x the Medicare baseline. Located in 1010 Three Springs Blvd, Durango, CO.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $103 (613%)

Insurance Median: $94 (560%)

Cash: $103 (613% of Medicare)

Ins. Median: $94 (560% 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 560% of the Medicare baseline (a markup of 460%). 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
Aetna	$16 - $226	95%
Blue Cross Blue Shield	$16 - $226	95%
Cigna	$16 - $221	95%
Denver Health	$16 - $76	95%
Humana	$16 - $218	95%
Innovage	$16	95%
Kaiser	$16	95%
Medicare (plans)	$16	95%
Rocky Mountain Pace	$16	95%
UnitedHealthcare	$16 - $25	95%
Centura Employee Plan	$21	125%
United Colorado Doctor'S Plan	$25	149%
Archdiocese Of Denver	$69	411%
Direct To Employer	$167	994%
Presbyterian Health Plan	$192	1143%
Multiplan	$231	1375%

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 $103.
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 Mercy Regional Medical Center 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.