CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $86
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 5.12x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Saint Alphonsus Regional Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.12x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $69 (411%)
Insurance Median: $86 (512%)
Cash: $69 (411% of Medicare)
Ins. Median: $86 (512% 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 512% of the Medicare baseline (a markup of 412%). 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
Ada County Jail Inmate Ins $15 89%
Centurion Of Idaho $15 89%
Id County Ada $15 89%
Id County Canyon $15 89%
Id County Cat Fund $15 89%
Id County Payette $15 89%
Idaho Dept Health And Wellfare $15 89%
Medicaid / KanCare $15 - $50 89%
Blue Cross Blue Shield $16 - $100 95%
Medicare (plans) $16 - $17 95%
UnitedHealthcare $16 - $117 95%
Aetna $17 - $107 101%
American Health Advantage Of Idaho $17 101%
Moda Health $17 - $105 101%
Blue Shield - Id (Regence) $19 - $25 113%
Asuris Northwest Health $25 149%
Blue Shield - Wa (Regence) $25 - $100 149%
Healthcare Management Admin $25 149%
Molina Marketplace $40 238%
Trillium Community Ohp $41 - $50 244%
Webtpa $44 - $99 262%
Mountain Health Co-Op $58 - $70 345%
Pacificsource Health Plans $58 - $85 345%
Selecthealth $59 - $105 351%
Cigna $66 393%
Priority Health $66 393%
Providence $66 - $99 393%
Columbia Health Network $70 - $85 417%
Allegiance $71 - $87 423%
Employee Benefit Management $82 - $99 488%
First Choice Health $82 - $99 488%
Humana $84 - $117 500%
Allied National Global Care $86 - $105 512%
Asrm - Reliance Standard Life Insurance $86 - $105 512%
Christian Care Ministry $86 - $105 512%
Dean Health $86 - $105 512%
Fallon Health $86 - $105 512%
Family Life Insurance Company $86 - $105 512%
First Health $86 - $105 512%
Geha $86 - $107 512%
Ghc Scw $86 - $105 512%
Healthnet $86 - $105 512%
International Benefit Administrators $86 - $105 512%
Lifetime Benefit Solutions $86 - $105 512%
Manhattan Life $86 - $105 512%
Medi Share $86 - $105 512%
Pai $86 - $105 512%
Pan-American Life $86 - $105 512%
Paramount Hmo $86 - $105 512%
Phcs $86 - $105 512%
Trinity Health Share $86 - $105 512%
Allied Benefit Systems $88 - $107 524%
Ameriben $88 - $107 524%
Asr Health Benefits $88 - $107 524%
Boon Chapman $88 - $107 524%
Christian Brother Services $88 - $107 524%
Healthez $88 - $107 524%
Luminare Health (Detroit) $88 - $107 524%
Meritain $88 - $107 524%
Rural Carrier Health Benefit Plan $88 - $107 524%
Bcn Domestic $100 595%
Blue Benefit Administrators Of Massachusetts $100 595%
Blue Care Network $100 595%
Blue Distinction Transplant $100 595%
Blue Shield - Ca $100 595%
Blue Shield - Ny Highmark Northeastern $100 595%
Blue Shield - Ny Highmark Western $100 595%
Blue Shield - Pa (Highmark) $100 595%
Health Choices $100 595%
Kaiser Domestic $100 595%
Pre-Employment $100 595%
Wc Domestic $100 595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1055 North Curtis Road, Boise, ID 83706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals