CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Portneuf Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $240
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 14.29x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Portneuf Medical Center is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 14.29x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$170

Average discount available for prompt cash payment at this facility.

Insurance Median
$240

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: $170 (1012%)
Insurance Median: $240 (1429%)
Cash: $170 (1012% of Medicare)
Ins. Median: $240 (1429% 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 1429% of the Medicare baseline (a markup of 1329%). 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
Aetna $58 - $240 345%
Healthscope Benefits [2290] $58 345%
UnitedHealthcare $58 - $255 345%
Black Lung [6055] $116 690%
Employee Benefit Management Services [2445] $116 - $170 690%
Healthcare Highways [2210] $116 - $269 690%
Lucent Health [6000] $116 690%
Moda Health [6100] $116 690%
Oncology Patient Assistance Programs [2295] $116 690%
Pending Ssi [1616] $116 690%
Web Tpa [2115] $116 690%
Pacific Source Health Plans [2850] $163 970%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $170 1012%
Medishare Christian Care [1645] $170 1012%
Multiplan [1680] $190 - $269 1131%
Worker'S Comp [2125] $206 - $212 1226%
Cigna $208 1238%
Enablecomp [1350] $212 1262%
Transamerican Life [1990] $212 1262%
First Health [1375] $233 1387%
Mailhandlers [1595] $240 1429%
Selecthealth [3740] $240 - $255 1429%
Geha [1415] $255 1518%
Humana $255 1518%
Administrative Concepts [1005] $269 1601%
Healthfirst [2395] $269 1601%
Healthnet [1495] $269 1601%
Hometown Health [2155] $269 1601%
Mayo Clinic Health Solutions [2280] $269 1601%
Meritain Health [1655] $269 1601%
Mutual Of Omaha [1685] $269 1601%
National Association Of Letter Carriers [1695] $269 1601%
New Era Life Insurance Company [1705] $269 1601%
Pan American Life Insurance Co [1770] $269 1601%
Pba [1775] $269 1601%
Phcs [1780] $269 1601%
Planned Administrators Inc [2360] $269 1601%
Trustmark [2030] $269 1601%
Ut Id Teamsters [3760] $269 1601%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hospital Way, Pocatello, ID 83201
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals