CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: South Miami Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $68
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at South Miami Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.05x the Medicare baseline. Located in 6200 Sw 73Rd St, Miami, FL.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $121 (720%)
Insurance Median: $68 (405%)
Cash: $121 (720% of Medicare)
Ins. Median: $68 (405% 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 405% of the Medicare baseline (a markup of 305%). 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 $6 - $165 36%
Aetna $7 - $204 42%
Amerigroup $7 42%
Medicaid / KanCare $7 42%
Sunshine State $7 42%
UnitedHealthcare $7 - $255 42%
Vista $7 42%
Wellcare $7 42%
Avmed $11 - $126 65%
Cigna $12 - $204 71%
Non Contracted $12 - $94 71%
Amerihealth $14 - $115 83%
Medicare (plans) $17 - $23 101%
Humana $18 107%
Leon Medical $18 107%
Medica Health Plan $18 107%
International $21 - $166 125%
Dimension Health Plan $24 - $230 143%
Affordable $27 - $217 161%
Phcs $29 - $230 173%
Quality Health $29 - $230 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 Sw 73Rd St, Miami, FL 33143
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals