CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Valor Health

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $41
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 2.44x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Valor Health is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.44x the Medicare baseline. Located in 1202 East Locust Street, Emmett, ID.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $79 (470%)
Insurance Median: $41 (244%)
Cash: $79 (470% of Medicare)
Ins. Median: $41 (244% 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 244% of the Medicare baseline (a markup of 144%). 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 Shield Comm - All Other Plans $13 - $15 77%
Pacificsource Comm - All Other Plans $13 - $15 77%
Select Health Comm - All Other Plans $13 - $15 77%
UnitedHealthcare $13 - $81 77%
Tricare $35 - $40 208%
Aetna $36 - $73 214%
Blue Cross Blue Shield $36 - $86 214%
Blue Shield Mcr Adv $36 - $41 214%
Humana $36 - $86 214%
Molina Mcr Adv - All Plans $36 - $41 214%
Regence Bs Triwest - All Plans $36 - $41 214%
Pacificsource Mcr Adv $38 - $43 226%
Cigna $70 - $81 417%
Moda Health - All Plans $74 - $84 440%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1202 East Locust Street, Emmett, ID 83617
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals