CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lost Rivers Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $68
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lost Rivers Medical Center is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.05x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $86 (512%)
Insurance Median: $68 (405%)
Cash: $86 (512% of Medicare)
Ins. Median: $68 (405% 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 405% of the Medicare baseline (a markup of 305%). 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
Humana $18 - $68 107%
Regence Blue Shield-All Other Plans $18 107%
Provider Network Of America-All Plans $30 179%
Select Health Brightpath-All Other Plans $61 363%
Tricare $61 363%
Ihcn Brightpath-All Other Plans $65 387%
Va Pccc-All Plans $66 393%
Blue Cross Blue Shield $68 - $108 405%
Ihcn Brightpath Mcr Adv $68 405%
Molina Mcr Adv-All Plans $68 405%
Pacificsource Mcr Adv $68 405%
Regence/Brightpth Slhp Mcr $68 405%
Select Health Mcr Adv $68 405%
Prime Hlth Mcr Adv $71 423%
Aetna $73 - $102 435%
Cigna $100 595%
First Choice-All Plans $100 595%
Pacificsource Navigator-All Other Plans $103 613%
UnitedHealthcare $103 613%
Altius Health Plan-All Plans $105 625%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 551 Highland Drive, Arco, ID 83213
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals