CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $84
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 5.00x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Sarasota Memorial Hospital - Venice is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.00x the Medicare baseline. Located in 2600 Laurel Road East, North Venice, FL.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $56 (333%)
Insurance Median: $84 (500%)
Cash: $56 (333% of Medicare)
Ins. Median: $84 (500% 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 500% of the Medicare baseline (a markup of 400%). 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
Amerihealth Caritas $7 42%
Community Care Plan $7 42%
Florida Community Care $7 - $18 42%
Molina $7 42%
Simply Healthcare $7 42%
Sunshine State $7 42%
Aetna $17 - $192 101%
Blue Cross Blue Shield $17 101%
UnitedHealthcare $17 - $120 101%
Simply Freedom Optimum $18 107%
Wellcare $18 107%
Ambetter / Centene $45 268%
Avmed $88 - $117 524%
Usa Managed Care $96 - $128 571%
First Health $100 - $133 595%
Careworks $104 - $192 619%
Enlyte $104 - $192 619%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2600 Laurel Road East, North Venice, FL 34275
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals