CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: St Anthony Summit Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $138
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 8.21x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at St Anthony Summit Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.21x the Medicare baseline. Located in 340 Peak One Drive, Frisco, CO.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $93 (554%)
Insurance Median: $138 (821%)
Cash: $93 (554% of Medicare)
Ins. Median: $138 (821% 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 821% of the Medicare baseline (a markup of 721%). 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.

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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 - $209 95%
Blue Cross Blue Shield $16 - $204 95%
Cigna $16 - $200 95%
Devoted Health $16 95%
Humana $16 95%
Kaiser $16 95%
Medicare (plans) $16 95%
UnitedHealthcare $16 - $213 95%
Centura Employee Plan $21 125%
Direct To Employer $25 - $139 149%
Peak Health $25 149%
Denver Health $69 - $139 411%
United Colorado Doctor'S Plan $165 982%
Multiplan $213 1268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Peak One Drive, Frisco, CO 80443
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals