CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $75
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 4.46x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Clearwater Valley Hospital & Clinics is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.46x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $77 (458%)
Insurance Median: $75 (446%)
Cash: $77 (458% of Medicare)
Ins. Median: $75 (446% 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 446% of the Medicare baseline (a markup of 346%). 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 $55 - $95 327%
Humana $55 - $99 327%
Pacific Source - All Plans $55 327%
Regence Blue Shield Mcr $55 327%
Veterans Amin-All Plans $55 327%
Blue Cross Blue Shield $56 - $84 333%
Nimiipuu Mcr Adv-All Plans $56 333%
Corizon Correctnal Med-All Plans $74 440%
Cigna $92 548%
Idaho Phys Network-All Plans $97 577%
Multiplan / Phcs-All Plans $99 589%
First Choice-All Plans $100 595%
Geha-All Plans $100 595%
Regence Blue Shield-All Other Plans $102 607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Cedar Street, Orofino, ID 83544
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals