CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $25
Cash Discount Price: $184
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at UMass Memorial Healthalliance Hospitals is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.49x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$184

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $184 (1095%)

Insurance Median: $25 (149%)

Cash: $184 (1095% of Medicare)

Ins. Median: $25 (149% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Institution [10406]	$15 - $172	89%
Masshealth [20302]	$15	89%
Medicaid / KanCare	$15 - $19	89%
UnitedHealthcare	$15 - $324	89%
Blue Cross Blue Shield	$17 - $54	101%
Cigna	$17 - $65	101%
Medicare (plans)	$17	101%
Tufts Dual [10111]	$17	101%
Tufts Us Family [11203]	$17	101%
Aetna	$18 - $212	107%
Champva [11001]	$18	107%
Commonwealth Care Mcr [10115]	$18	107%
Fallon Mcr Supp [20202]	$18	107%
Harvard Pilgrim Mcr [10106]	$18	107%
Mgb Mcr [10124]	$18	107%
Senior Whole Health [10110]	$18	107%
Tufts Mcr [10112]	$18	107%
Correctional Care [11003]	$23 - $27	137%
Workers Compensation [20501]	$23	137%
Hne [11108]	$25 - $181	149%
Tufts Connectorcare [10507]	$29	173%
First Health Network [11120]	$33 - $243	196%
Multiplan [11109]	$33 - $243	196%
Tufts [11201]	$37	220%
Harvard Pilgrim [10701]	$43 - $52	256%
Connecticare [11105]	$44 - $324	262%
Fallon Carelon Hlth [28]	$44 - $324	262%
Fallon Mcaid Carelon Hlth [29]	$44 - $324	262%
Grants [20507]	$44 - $324	262%
Wellpoint [11112]	$44	262%
Fallon Connectorcare [10503]	$155	923%
Hsno/Free Care [10801]	$294	1750%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $184.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UMass Memorial Healthalliance Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.