CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: North Adams Regional Hospital Corporation

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $44
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 2.62x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at North Adams Regional Hospital Corporation is $44. 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 2.62x the Medicare baseline. Located in 71 Hospital Avenue, North Adams, MA.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $44 (262%)
Cash: $56 (333% of Medicare)
Ins. Median: $44 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Blue Cross Blue Shield $13 - $130 77%
Comm Hospice $13 - $35 77%
Mcr Miscellaneous $13 - $35 77%
Mcrmanaged Cca One Care $13 - $35 77%
Mcrmanaged Usa Family $13 - $35 77%
Mcrmanaged Va $13 - $35 77%
Medicaid / KanCare $13 - $67 77%
Medicare (plans) $13 - $36 77%
Oth United Vaccn $13 - $35 77%
Mcd Masshealth $15 89%
Mcd New York $15 89%
Mcd Out Of State $15 89%
Mcdmanaged Bmchnp $15 - $17 89%
Mcdmanaged Cdphp $15 89%
Mcdmanaged Hne Mcdaco $15 89%
Mcdmanaged Network $16 - $86 95%
Aetna $20 - $116 119%
Tricare $20 - $58 119%
Comm Fallon Qhp $25 - $87 149%
Comm Network Qhpsub $31 - $93 185%
Wc Workers Comp $34 - $93 202%
Comm Network Qhpnonsub $36 - $110 214%
Comm Nhp $36 - $99 214%
Comm Unicare $36 - $99 214%
Comm Hne $37 - $107 220%
Comm Hne Hmo $37 - $115 220%
Comm Hne Ppo $39 - $115 232%
Comm Tufts $44 - $121 262%
UnitedHealthcare $48 - $132 286%
Cigna $50 - $142 298%
Comm Cdphp $50 - $138 298%
Comm Mvp $50 - $138 298%
Comm Oxford $50 - $138 298%
Comm First Health $52 - $145 310%
Comm Connecticare $53 - $145 315%
Comm Consolidated Health $53 - $145 315%
Comm Harvard $53 - $145 315%
Comm Other $53 - $145 315%
Comm Phcs $53 - $145 315%
Comm Self Pay $53 - $145 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Hospital Avenue, North Adams, MA 01247
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Critical Access Hospitals