CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Cambridge Health Alliance

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $90
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 5.36x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Cambridge Health Alliance is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.36x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

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: $90 (536%)
Insurance Median: $90 (536%)
Cash: $90 (536% of Medicare)
Ins. Median: $90 (536% 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 536% of the Medicare baseline (a markup of 436%). 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
Boston Medical Center - Wellsense [50003] $15 89%
Fallon [50006] $15 89%
Mass Bh Partnership [70098] $15 89%
Mass General Brigham [50021] $15 - $57 89%
Mass Health [70001] $15 89%
Medicaid / KanCare $15 89%
Other Tufts Health Public Plan [75002] $15 - $28 89%
Tufts Together W Cha [75001] $15 89%
UnitedHealthcare $15 - $60 89%
Medicare (plans) $17 - $90 101%
Aarp [40001] $23 137%
Oxford Health [40004] $23 137%
United Medical Resource [40005] $23 137%
Wc [90001] $23 137%
Blue Cross Blue Shield $33 - $90 196%
Wellpoint [50012] $34 202%
Aetna $45 - $90 268%
Cigna $48 - $116 286%
Tufts Health Plan [30001] $48 - $55 286%
Health Plans Inc [20002] $60 357%
Hphc [20001] $60 357%
Multiplan [50010] $61 363%
Altus Dental [99011] $90 536%
Beacon Health Strategies [50002] $90 536%
Cbhc Uninsured Crisis Alt Payer [70097] $90 536%
Cbhc Uninsured Crisis [70096] $90 536%
Celticare [50004] $90 536%
Commonwealth Care Alliance Dental [99004] $90 536%
Coverage Discovery [90004] $90 536%
Delta Dental Of Ma [99007] $90 536%
Dominion National Dental [99012] $90 536%
Dph Tb Payor [85004] $90 536%
Esp Dental [99003] $90 536%
Eyemed Alt Payor [13001] $90 536%
First Health [50007] $90 536%
Global Medical Management [50024] $90 536%
Government Employee Health Association [50023] $90 536%
Guardian Dental [99013] $90 536%
Health Safety Net Dental [99002] $90 536%
Humana $90 536%
Ma Laborers Health And Welfare Fund [50022] $90 536%
Magellan Health Services [65098] $90 536%
Mass Health Dental [99001] $90 536%
Medical Mutual Of Ohio [50019] $90 536%
Metlife Dental [99008] $90 536%
Modern Assistance Program [30098] $90 536%
Mva [90002] $90 536%
Neighborhood Health Plan [50011] $90 536%
Other Bh Payor [50014] $90 536%
Other Commercial Payor [50015] $90 536%
Other Dental Payor [99014] $90 536%
Other Dual Eligible Payer [65004] $90 536%
Other Gov'T Alt [85006] $90 536%
Other Vision Payor [50013] $90 536%
Ri Neighborhood Health Plan [50017] $90 536%
Tricare $90 536%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals