CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Berkshire Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $50
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 2.98x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Berkshire Medical Center is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.98x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $56 (333%)
Insurance Median: $50 (298%)
Cash: $56 (333% of Medicare)
Ins. Median: $50 (298% 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 298% of the Medicare baseline (a markup of 198%). 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
Cdphp $15 - $138 89%
Fallon $15 - $67 89%
Health New England $15 - $107 89%
Mbhp $15 89%
Mcd Out Of State $15 89%
Medicaid / KanCare $15 89%
Medicare (plans) $16 95%
Point32Health $16 - $145 95%
Blue Cross Blue Shield $17 - $130 101%
Bmchnp $17 - $19 101%
Commcare Alliance $17 - $20 101%
Hospice $17 101%
Other Government $17 - $20 101%
UnitedHealthcare $17 - $132 101%
Aetna $20 - $116 119%
Comm Tufts Qhpsub (Network) $31 - $93 185%
Workers Comp $34 - $93 202%
Allways Nhp $36 - $99 214%
Unicare $36 - $99 214%
Comm Hne Hmo $37 - $115 220%
Comm Hne Ppo $39 - $115 232%
Beacon $47 - $138 280%
Cigna $50 - $142 298%
Mvp $50 - $138 298%
Oxford $50 - $138 298%
First Health $52 - $145 310%
Connecticare $53 - $145 315%
Consolidated Health Plans $53 - $145 315%
Other Commercial $53 - $145 315%
Phcs $53 - $145 315%
Self Pay $53 - $145 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 725 North Street, Pittsfield, MA 01201
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals