CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Saint Mary's Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $35
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Saint Mary's Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.08x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $78 (464%)
Insurance Median: $35 (208%)
Cash: $78 (464% of Medicare)
Ins. Median: $35 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Blue Cross Blue Shield $15 - $19 89%
Aetna $16 - $30 95%
Medicare (plans) $16 - $17 95%
UnitedHealthcare $16 - $147 95%
Cca Senior Care Options $17 101%
Cigna $17 - $118 101%
Geha $17 101%
Harvard Pilgrim Healthcare $17 101%
Bcn Domestic $19 113%
Blue Benefit Administrators of Massachusetts $19 113%
Blue Care Network $19 113%
Blue Distinction Transplant $19 113%
Blue Shield - Ca $19 113%
Blue Shield - Id (Regence) $19 113%
Blue Shield - Ny Highmark Northeastern $19 113%
Blue Shield - Ny Highmark Western $19 113%
Blue Shield - PA (Highmark) $19 113%
Blue Shield - Wa (Regence) $19 113%
Connecticare $19 113%
Health Choices $19 113%
Kaiser Domestic $19 113%
Pre-Employment $19 113%
Unicare $19 113%
Wc Domestic $19 113%
Wellpoint $19 113%
Centivo $21 125%
1199 National Benefit Fund $30 179%
Allied Benefit Systems $30 179%
Gravie Admin Services $30 179%
Hap $30 179%
Luminare Health $30 179%
Meritain $30 179%
Nippon Life Ins $30 179%
Webtpa $30 179%
Allegiance $34 202%
Connecticut Dept of Correction $34 - $37 202%
Health Partners $34 202%
Magnacare $34 202%
Claimdoc $35 208%
Diversified Administrators $35 208%
Innovative Health Plan II $35 208%
Carelon Behavioral Health $68 - $74 405%
Health New England $73 - $78 435%
Allied National Global Care $105 - $113 625%
Asrm - Reliance Standard Life Insurance $105 - $113 625%
Christian Care Ministry $105 - $113 625%
Dean Health $105 - $113 625%
Fallon Health $105 - $113 625%
Family Life Insurance Company $105 - $113 625%
Ghc Scw $105 - $113 625%
International Benefit Administrators $105 - $113 625%
Lifetime Benefit Solutions $105 - $113 625%
Manhattan Life $105 - $113 625%
Medi Share $105 - $113 625%
Multiplan $105 - $113 625%
Mvp $105 - $113 625%
PHCS $105 - $113 625%
Pai $105 - $113 625%
Pan-American Life $105 - $113 625%
Paramount HMO $105 - $113 625%
Trinity Health Share $105 - $113 625%
Prime Health Services $110 - $118 655%
Health Smart $116 - $125 690%
United Behavioral Health Eap $137 - $147 815%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals