CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Sterling Regional Medcenter

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $48
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 2.86x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Sterling Regional Medcenter is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.86x the Medicare baseline. Located in 615 Fairhurst St, Sterling, CO.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $27 (161%)
Insurance Median: $48 (286%)
Cash: $27 (161% of Medicare)
Ins. Median: $48 (286% 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 286% of the Medicare baseline (a markup of 186%). 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 $14 - $103 83%
Banner Health $16 - $34 95%
Blue Cross Blue Shield $16 - $160 95%
Healthspring Life & Health Insurance Company, Inc. $16 - $34 95%
Medica $16 - $92 95%
Medicare (plans) $16 - $34 95%
Clear Spring Health $17 101%
Longevity $17 101%
UnitedHealthcare $17 - $105 101%
Devoted Health Services $18 107%
Humana $18 107%
Assist Health Group $19 - $41 113%
Pinnacol Assurance Workers Comp $25 - $54 149%
Denver Health Medical Plan $31 - $67 185%
Apostrophe, Inc. $46 - $100 274%
First Choice Health Network $46 - $100 274%
First Choice Of The Midwest $48 - $105 286%
Hue Health, Inc $48 - $105 286%
Rocky Mountain Health Plans $48 - $105 286%
Multiplan $49 - $108 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 615 Fairhurst St, Sterling, CO 80751
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals