CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Good Samaritan Medical Center LLC

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $77
Cash Discount Price: Unavailable
vs. Medicare Baseline: 4.58x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Good Samaritan Medical Center LLC is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.58x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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%)

Insurance Median: $77 (458%)

Ins. Median: $77 (458% 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 458% of the Medicare baseline (a markup of 358%). 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
Cigna	$11 - $298	65%
Aarp	$17	101%
Geha	$17 - $173	101%
Kaiser Snp	$17	101%
Select Health	$17	101%
UnitedHealthcare	$17 - $173	101%
Kaiser Perm Hmo	$25 - $125	149%
Blue Cross Blue Shield	$30 - $251	179%
Kaiser Perm Ppo/Pos	$31 - $129	185%
Kaiser Self Funded	$31 - $125	185%
Allegiance	$33 - $74	196%
Denv Hlth Med Plan	$44	262%
Aetna	$49 - $267	292%
Preferred One	$53 - $119	315%
Humana	$56 - $125	333%
Cofinity	$96 - $215	571%
First Health Network	$96 - $215	571%
Private Hlthcare Sys	$100 - $223	595%
Multiplan Inc	$113 - $253	673%

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 $X.
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 Good Samaritan Medical Center LLC 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.